Provider Demographics
NPI:1710988571
Name:BARRY SCHNALL MS MD
Entity Type:Organization
Organization Name:BARRY SCHNALL MS MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHNALL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-572-9390
Mailing Address - Street 1:1350 WARNER RD
Mailing Address - Street 2:
Mailing Address - City:MEADOWBROOK
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:215-572-9390
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-02
Last Update Date:2019-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD016847E208100000X, 208VP0000X
DEC10004816208100000X, 208VP0000X
NJ25MA04570300208100000X, 208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty
Not Answered208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA919253Medicaid
PASC160117OtherPC BLUE CROSS BLUE SHIELD
PAP816860OtherOXFORD
PA6827370OtherCIGNA
PA4257416OtherAETNA
PA0060099000OtherKEYSTONE EAST
PAA47200Medicare UPIN
PA919253Medicaid