Individual provider Active NPI

Brian Snyder

  • Family Nurse Practitioner
  • Toledo, OH
National Provider Identifier
1891288064
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
022862 Issued in OH
Practice address
100 Madison Ave
Toledo, OH 43604-1516
Phone
(567) 585-9600
NPI assigned
Jun 12, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 022862 OH Primary

Addresses

Primary practice location

100 Madison Ave
Toledo, OH 43604-1516

Mailing address

100 Madison Ave
Toledo, OH 43604-1516

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bsnyder134126@epicdirect.promedica.org

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180906001858 OH Practitioner - Nurse Practitioner 7618943614 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Promedica Central PhysiciansGroup PAC ID 2365348190, 785 clinicians

Practice addresses (Care Compare)

5700 Monroe St
Sylvania, OH 43560-2767
Phone (567) 585-0005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
022862OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Promedica Central Physicians CurrentSince Aug 1, 2018 Accepting new patients
Hles of Ohio, Inc. CurrentSince Sep 11, 2019 Accepting new patients
Emergency Physicians of Northwest Ohio Inc. CurrentSince Jan 1, 2019 Accepting new patients
Promedica Central Physicians CurrentSince Aug 1, 2018 Accepting new patients
Hles of Ohio Inc CurrentSince Sep 11, 2019 Accepting new patients
Blanchard Valley Medical Practice LLC Family CurrentSince Jan 29, 2024 Accepting new patients
Ohio Emergency Professionals Inc CurrentSince Apr 1, 2019 Accepting new patients
Observation Physicians of Northwest Ohio LLC PastSince Mar 21, 2021 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Promedica Central Physicians PastSince Oct 16, 2022 Accepting new patients

Locations

838 E Wooster St
Bowling Green, OH 43402
Phone (419) 372-2271

930 Sheriden Dr
Ste A
Carey, OH 43316
Phone (419) 396-7683

1460 Orange St
Coshocton, OH 43812
Phone (740) 545-7919

3949 N Main St
Ste B
Findlay, OH 45840
Phone (419) 423-3888

1900 S Main St
Findlay, OH 45840
Phone (419) 423-4500

630 Eaton Ave
Hamilton, OH 45013
Phone (513) 867-2000

6711 Airport Hwy
Holland, OH 43528
Phone (567) 585-0070

217 Golden Gate Plz
Maumee, OH 43537
Phone (567) 585-0210

25950 Dixie Hwy
Ste 400
Perrysburg, OH 43551
Phone (567) 585-0010

5700 Monroe St
Sylvania, OH 43560
Phone (419) 473-6622

3430 Secor Rd
Toledo, OH 43606
Phone (567) 585-0225

2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111

6755 W Central Ave
Toledo, OH 43617
Phone (567) 585-0075

6755 W Central Ave
Ste 101
Toledo, OH 43617
Phone (567) 585-0075

100 Madison Ave
Toledo, OH 43604
Phone (567) 585-1964

2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112

Organizations & group practices 10

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

NPI Registry JSON

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1891288064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MADISON AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436041516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MADISON AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436041516",
            "telephone_number": "567-585-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "BRIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-12",
        "last_updated": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "022862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bsnyder134126@epicdirect.promedica.org",
            "affiliation": "N",
            "address_1": "100 Madison Ave",
            "city": "Toledo",
            "state": "OH",
            "country_code": "US",
            "postal_code": "436041516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.