Individual provider Active NPI

Bradley Andrew Snider, D.C., M.S.

  • Chiropractor
  • Jonesboro, AR
National Provider Identifier
1982111043
Registry record updated Jan 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
16182 Issued in AR
Practice address
1312 Stone St
Jonesboro, AR 72401-4522
Phone
(870) 972-9480
NPI assigned
Jan 10, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 16182 AR Primary

Addresses

Primary practice location

1312 Stone St
Jonesboro, AR 72401-4522

Mailing address

1312 Stone St
Jonesboro, AR 72401-4522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20180215002444 AR Practitioner - ChiropracticPractitioner - Sports Medicine 8527328350 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Sports Medicine
Education
Logan College of Chiropractic, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Snider Performance and SpineGroup PAC ID 5092075820, 2 clinicians

Practice addresses (Care Compare)

1922 E Matthews Ave
Jonesboro, AR 72401-4349
Phone (870) 520-5002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
16182ARMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Snider Performance & Spine Chiropractor CurrentSince Jan 22, 2018 Accepting new patients
Holladay Chiropractic LLC Chiropractor PastSince Jul 20, 2023 Accepting new patients

Locations

1922 E Matthews Ave
Jonesboro, AR 72401
Phone (870) 219-6249

1312 Stone St
Jonesboro, AR 72401
Phone (870) 530-2137

Organizations & group practices 2

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": "1515542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515542400000",
    "number": "1982111043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 STONE ST",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724014522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 STONE ST",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724014522",
            "telephone_number": "870-972-9480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNIDER",
        "first_name": "BRADLEY",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "D.C., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-10",
        "last_updated": "2018-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "16182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

Verify at the official NPI Registry.