Healthcare Provider Details

I. General information

NPI: 1508722349
Provider Name (Legal Business Name): BRYAN THOMAS SCHNEIDER
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/24/2025
Last Update Date: 07/26/2026
Certification Date: 07/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7870 E KEMPER RD
CINCINNATI OH
45249-1675
US

IV. Provider business mailing address

1554 RUTH AVE
CINCINNATI OH
45207-1456
US

V. Phone/Fax

Practice location:
  • Phone: 513-201-5993
  • Fax: 513-488-1996
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0041699
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: