Healthcare Provider Details

I. General information

NPI: 1811953433
Provider Name (Legal Business Name): BRYAN P SCHNEIDER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/22/2006
Last Update Date: 03/08/2025
Certification Date: 03/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

535 BARNHILL DR RT 473
INDIANAPOLIS IN
46202-5112
US

IV. Provider business mailing address

PO BOX 44994
INDIANAPOLIS IN
46244-0994
US

V. Phone/Fax

Practice location:
  • Phone: 317-274-5112
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number01053603A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number01053603
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: