Brett T Snodgrass, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

2008015989 Issued in MO

Practice address

1 Southtowne Dr.
Great Mines Health Center
Potosi, MO 63664

Phone

(573) 438-9355

NPI assigned

May 9, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378944000000",
    "number": "1760696918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100A KENRICK PLAZA",
            "address_2": "JULIE THOMAS",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "631194416",
            "telephone_number": "314-968-0076",
            "fax_number": "314-968-6883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SOUTHTOWNE DR.",
            "address_2": "GREAT MINES HEALTH CENTER",
            "city": "POTOSI",
            "state": "MO",
            "postal_code": "63664",
            "telephone_number": "573-438-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNODGRASS",
        "first_name": "BRETT",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2013-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MO",
            "license": "2008015989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seth Paskon M.D.
• Rackel Elizabeth Sexton-Alfaro, LCSW
• Simpelo Medi-Spa
• Simpelo Medical Clinic, P.C.
• Rustico V Simpelo, MD
• Southtowne Imaging Center LLC
• Matthew Scott Standridge, D.D.S.
• Vonna Suda, EDS
• Bobbi J Summers, LPC
• Gregory Keith Terpstra, DO

• General Practice Physician in Potosi, MO
• Providers in Potosi, MO by specialty
• General Practice Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2013; 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.