Individual provider Active NPI

Glen Brian Schneider, DPM

  • Podiatrist
  • Boca Raton, FL
National Provider Identifier
1801951918
Registry record updated Jul 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO2857 Issued in FL
Practice address
9250 Glades Rd Ste 106
Boca Raton, FL 33434-3958
Phone
(561) 487-3500
Fax
(561) 487-5994
NPI assigned
Dec 27, 2006
Last updated
Jul 19, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO2857 FL Primary

Addresses

Primary practice location

9250 Glades Rd Ste 106
Boca Raton, FL 33434-3958

Mailing address

7754 Lakeside Blvd
Apt. 456
Boca Raton, FL 33434-6405
Phone (561) 487-3500

Other identifiers 1

IdentifierTypeStateIssuer
340249500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080124000660 FL Practitioner - Podiatry 9638251911 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1110 S State Rd
7 Golden Age Manor Alf
Plantation, FL 33317-4527
Phone (954) 583-3321

1835 Wilson St
Merriment Manor
Hollywood, FL 33020-2725
Phone (954) 923-9575

295 SW 4TH Ave
Pompano Beach, FL 33060-6933
Phone (954) 942-6000

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
90
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue246
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
PO2857FLMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Glen Schneider DPM PA Podiatrist CurrentSince Aug 1, 2006 Accepting new patients
Chiro Worx Injury Center Inc CurrentSince Aug 29, 2023 Accepting new patients
Womens Physical Therapy Inc PastSince May 3, 2020 Accepting new patients
Bradley C Haves DPM PA Podiatrist Past Accepting new patients

Locations

9080 Kimberly Blvd
Ste 5
Boca Raton, FL 33434
Phone (561) 477-7150

9250 Glades Rd
Ste 106
Boca Raton, FL 33434
Phone (561) 482-4300

1835 Wilson St
Hollywood, FL 33020
Phone (561) 960-2020

6931 W Broward Blvd
Plantation, FL 33317
Phone (954) 321-5191

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374192000000",
    "number": "1801951918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7754 LAKESIDE BLVD",
            "address_2": "APT. 456",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334346405",
            "telephone_number": "561-487-3500",
            "fax_number": "561-487-5994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9250 GLADES RD STE 106",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334343958",
            "telephone_number": "561-487-3500",
            "fax_number": "561-487-5994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "GLEN",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2013-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO2857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340249500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.