Provider Demographics
NPI:1811013576
Name:SCHNEIDER, JOSEPH BRANT (DO)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:BRANT
Last Name:SCHNEIDER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5330 N OAK TRFY
Mailing Address - Street 2:STE 201
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64118-4699
Mailing Address - Country:US
Mailing Address - Phone:816-454-0666
Mailing Address - Fax:816-454-1694
Practice Address - Street 1:5330 N OAK TRFY STE 201
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64118-4600
Practice Address - Country:US
Practice Address - Phone:816-454-0666
Practice Address - Fax:816-559-7118
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101016672207N00000X
MO2008004467207N00000X
KS33069207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSP00625374OtherRAILROAD MEDICARE
KSG26A00001Medicare PIN
KSP00625374OtherRAILROAD MEDICARE