Individual provider Active NPI

Brian S Snarr, MD, PHD

  • Pediatric Cardiology Physician
  • Tyler, TX
National Provider Identifier
1912206178
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
R7117 Issued in TX
Practice address
909 E SE Loop 323 Ste 360
Tyler, TX 75701-9101
Phone
(903) 393-3169
Fax
(903) 508-6154
NPI assigned
Mar 26, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X MD451684 PA
Pediatric Cardiology Physician 2080P0202X R7117 TX Primary

Addresses

Primary practice location

909 E SE Loop 323 Ste 360
Tyler, TX 75701-9101

Mailing address

3401 Civic Center Blvd
Philadelphia, PA 19104-4319

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210727002950 TX Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Pediatric Medicine 8921401019 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MD451684PAMDPediatric Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas Physician Medical Services for Children Inc Pediatric Cardiology CurrentSince Apr 12, 2023 Accepting new patients
Dallas Physician Medical Services for Children Inc CurrentSince Apr 12, 2023 Accepting new patients
Texas Children'S Physician Group CurrentSince Jul 22, 2021 Accepting new patients

Locations

8611 N Mopac Expy
Austin, TX 78759
Phone (713) 816-1250

1935 Medical District Dr
Dallas, TX 75235
Phone (214) 456-2735

6621 Fannin St
#W1998
Houston, TX 77030

7601 Preston Rd
Plano, TX 75024
Phone (469) 303-7300

909 Ese 323 Loop
Ste 360
Tyler, TX 75701
Phone (903) 393-3169

Organizations & group practices 3

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": "1301097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1912206178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 CIVIC CENTER BLVD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 E SE LOOP 323 STE 360",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757019101",
            "telephone_number": "903-393-3169",
            "fax_number": "903-508-6154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNARR",
        "first_name": "BRIAN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-26",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "PA",
            "license": "MD451684",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "TX",
            "license": "R7117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.