Organization Active NPI

Albemarle Family Foot & Ankle, PLLC

  • Primary Podiatric Medicine Podiatrist
  • Charlottesville, VA
National Provider Identifier
1689612368
Registry record updated Oct 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
0103001051 Issued in VA
Legal business name
ALBEMARLE FAMILY FOOT & ANKLE, PLLC
Practice address
1410 Incarnation Dr Ste 202
Charlottesville, VA 22901-5708
Phone
(434) 979-0728
Fax
(434) 979-0730
NPI assigned
Jun 3, 2006
Last updated
Oct 30, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2020

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

Authorized official

Name
Dr. Bryan Richard Snyder, DPMNPI 1376546408
Title
Member
Phone
(434) 979-0728

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213EP1101X 0103001051 VA Primary

Addresses

Primary practice location

1410 Incarnation Dr Ste 202
Charlottesville, VA 22901-5708

Mailing address

1410 Incarnation Dr Ste 202
Charlottesville, VA 22901-5708
Phone (434) 979-0728

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081107000272 VA Part B Supplier - Clinic/Group Practice 5799843777 Practice locations: Charlottesville, VA

National Provider Directory

National Provider Directory

Locations

3315 Berkmar Dr
Ste 2C
Charlottesville, VA 22901
Phone (434) 979-0728

1410 Incarnation Dr
Ste 202
Charlottesvle, VA 22901
Phone (434) 979-0728

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604016000000",
    "number": "1689612368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 INCARNATION DR STE 202",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229015708",
            "telephone_number": "434-979-0728",
            "fax_number": "434-979-0730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 INCARNATION DR STE 202",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229015708",
            "telephone_number": "434-979-0728",
            "fax_number": "434-979-0730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBEMARLE FAMILY FOOT & ANKLE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "434-979-0728",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "VA",
            "license": "0103001051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.