Organization Active NPI

Kelley Snow MD PC

  • Specialist
  • Bessemer, AL
National Provider Identifier
1538211024
Registry record updated Jul 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
9110 Issued in AL
Legal business name
KELLEY SNOW MD PC
Practice address
985 9TH Ave SW
Ste. 507
Bessemer, AL 35022-4500
Phone
(205) 481-7577
Fax
(205) 481-7580
NPI assigned
Jan 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Kelley M Snow, M.D.
Title
Owner/Surgeon
Phone
(205) 481-7577

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 9110 AL Primary

Addresses

Primary practice location

985 9TH Ave SW
Ste. 507
Bessemer, AL 35022-4500

Mailing address

985 9TH Ave SW
Ste. 507
Bessemer, AL 35022-7814
Phone (205) 481-7577

Other identifiers 3

IdentifierTypeStateIssuer
006433OtherMEDICARE RAILROAD GROUP
000018743MedicaidAL
200041630OtherMEDICARE RAILROAD IND.

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1538211024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "985 9TH AVE SW",
            "address_2": "STE. 507",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350227814",
            "telephone_number": "205-481-7577",
            "fax_number": "205-481-7580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "985 9TH AVE SW",
            "address_2": "STE. 507",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350224500",
            "telephone_number": "205-481-7577",
            "fax_number": "205-481-7580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLEY SNOW MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "SNOW",
        "authorized_official_first_name": "KELLEY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/SURGEON",
        "authorized_official_telephone_number": "205-481-7577",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AL",
            "license": "9110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD GROUP",
            "identifier": "006433",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000018743",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD IND.",
            "identifier": "200041630",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bessemer, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.