BRIAN DOXEY SNOW D.O. NPI 1558680587

NPI Information

NPI: 1558680587
Provider Name: BRIAN DOXEY SNOW, D.O.
Classification: Internal Medicine - 207RN0300X
Entity Type: Individual

Specialization: Nephrology

Organization: ST LUKES CLINIC-TREASURE VALLEY LLC

PECOS Registration: Yes

Address:
4424 E FLAMINGO AVE STE 340
NAMPA, ID
ZIP 83687
Phone: (208) 846-8335
Get Directions

Brian Doxey Snow, D.O. is a nephrology internal medicine in Nampa, ID with 14 years of experience. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. Brian Doxey Snow, D.O. NPI is 1558680587. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: ARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Graduation Year:2010

The provider's business location address is:

4424 E FLAMINGO AVE STE 340
NAMPA, ID
ZIP 83687-306
Phone: (208) 846-8335
Fax: (208) 846-8336

The NPI 1558680587 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/1/2010 and was last updated on 5/1/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RN0300X	Internal Medicine	Nephrology	012787	OHIO	No
2	208D00000X	General Practice		0102202953	VIRGINIA	No
3	390200000X	Student in an Organized Health Care Education/Training Program				No
4	207RN0300X	Internal Medicine	Nephrology	O-1209	IDAHO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	FS6845171	OTHER	IDAHO	DEA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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