Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | 0103001051 | VA |
NPI | 1376546408 |
---|---|
Provider Name | Dr. Bryan Richard Snyder |
First Address | Charlottesville, VA 22901-5708 |
Second Address | Charlottesville, VA 22901-5708 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2005 |
Last Update Date | 01/05/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1904238 | FIRST HEALTH (01) | VA |
265249 | ANTHEM BCBS (01) | VA |
291473 | MAMSI (01) | VA |
541937173 | SOUTHERN HEALTH/ TRICARE (01) | VA |
700026072 | CIGNA (01) | VA |
9300554 | (05) | VA |
U75024 | (02) | VA |