Provider Demographics
NPI:1518964543
Name:SCHNALL, BARRY (MD)
Entity Type:Individual
Prefix:DR
First Name:BARRY
Middle Name:
Last Name:SCHNALL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1350 WARNER RD
Mailing Address - Street 2:
Mailing Address - City:JENKINTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19046-2536
Mailing Address - Country:US
Mailing Address - Phone:215-572-9390
Mailing Address - Fax:215-572-9390
Practice Address - Street 1:1648 HUNTINGDON PIKE
Practice Address - Street 2:
Practice Address - City:MEADOWBROOK
Practice Address - State:PA
Practice Address - Zip Code:19046-9813
Practice Address - Country:US
Practice Address - Phone:215-572-9390
Practice Address - Fax:215-575-9390
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-05
Last Update Date:2019-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD016847E208100000X
DEC10004816208100000X, 208VP0000X
PAMD 016847-E2081S0010X, 208VP0000X
NJ25MA04570300208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Not Answered2081S0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSports Medicine
Not Answered208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0060099000OtherKEYSTONE EAST HMO
PA919253Medicaid
NJ454253OtherBS,NJ
SC160117OtherBLUE CROSS, PC, B CHOICE
PAP816860OtherOXFORD
PA4257416OtherAETNA
PA6827370OtherCIGNA
SC160117OtherBLUE CROSS, PC, B CHOICE
PAP816860OtherOXFORD