MEDICARE: ALBEMARLE FAMILY FOOT & ANKLE, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213EP1101X	Primary Podiatric Medicine Podiatrist	0103001051	VA

General Provider Information

NPI Number	:	1689612368
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALBEMARLE FAMILY FOOT & ANKLE, PLLC

Provider Business Mailing Address
First Line	:	1410 INCARNATION DR STE 202
Second Line	:
City	:	CHARLOTTESVILLE
State	:	VA
Zip	:	22901-5708
Country	:	US
Telephone Number	:	434-979-0728
Fax Number	:	434-979-0730

Provider Business Practice Location Address
First Line	:	1410 INCARNATION DR STE 202
Second Line	:
City	:	CHARLOTTESVILLE
State	:	VA
Zip	:	22901-5708
Country	:	US
Telephone Number	:	434-979-0728
Fax Number	:	434-979-0730

Authorized Official
Title or Position	:	MEMBER
Name	:	DR. BRYAN RICHARD SNYDER
Credential	:	DPM
Telephone Number	:	434-979-0728

Provider Enumeration Date	:	06/03/2006
Last Update Date	:	10/30/2020

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