MEDICARE: JOSEPH BRANT SCHNEIDER DO

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	207N00000X	Dermatology Physician	5101016672	MI
2	207N00000X	Dermatology Physician	2008004467	MO
3	207N00000X	Dermatology Physician	33069	KS

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00625374	OTHER	KS	RAILROAD MEDICARE

General Provider Information

NPI Number	:	1811013576
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH BRANT SCHNEIDER DO

Provider Business Mailing Address
First Line	:	5330 N OAK TRFY
Second Line	:	STE 201
City	:	KANSAS CITY
State	:	MO
Zip	:	64118-4699
Country	:	US
Telephone Number	:	816-454-0666
Fax Number	:	816-454-1694

Provider Business Practice Location Address
First Line	:	5330 N OAK TRFY STE 201
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64118-4600
Country	:	US
Telephone Number	:	816-454-0666
Fax Number	:	816-559-7118

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/22/2007
Last Update Date	:	05/15/2023

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Directions to “ JOSEPH BRANT SCHNEIDER DO” Practice Location

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