Active NPI
Kelley Snow MD PC
- Specialist
- Bessemer, AL
National Provider Identifier
1538211024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 9110
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006433 | Other | MEDICARE RAILROAD GROUP | |
| 000018743 | Medicaid | AL | |
| 200041630 | Other | MEDICARE RAILROAD IND. |
National Provider Directory
National Provider DirectoryNPI 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.