Eric John Chapman, D.O.
Individual provider Active NPI Urology Physician · Brainerd, MN
NPI 1003136839 · NPPES record last updated Jan 8, 2016
Key facts
- NPI
- 1003136839
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Urology Physician 208800000X
- License
- 59670 (MN)
- Practice address
- 2024 S 6TH St
Brainerd, MN 56401-4529 - Phone
- (218) 828-7100
- NPI assigned
- Jun 3, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 16
Hospital & facility affiliations 13
Medicare Care Compare profile
- Specialty
- Urology
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- St Josephs Medical Center
Astera Health
Practice addresses (Care Compare)
2014 S 6TH St
Brainerd, MN 56401-4529
Phone (218) 829-7812
2024 S 6TH St
Brainerd, MN 56401-4529
Phone (218) 828-7100
4 Deerwood Ave NW
Wadena, MN 56482-1253
Phone (218) 631-1360
415 Jefferson St N
Wadena, MN 56482-1264
Phone (218) 631-7495
415 Jefferson St N
Wadena, MN 56482-1296
523 N 3Rd St
Brainerd, MN 56401-3054
Phone (218) 828-7394
Hospital & facility affiliations
- Essentia Health St Joseph'S Medical Center
- Astera Health
- Essentia Health
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 18 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150618002672 | MN | Practitioner - Urology | 1052622974 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 59670 | MN | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Astera Health | Current |
Accepting new patients | |
| St. Joseph'S Medical Center | Current |
Accepting new patients | |
| Astera Health | Current |
Accepting new patients | |
| St Joseph'S Medical Center | Current |
Accepting new patients | |
| Brainerd Medical Center Inc | Current | Accepting new patients | |
| St. Joseph'S Medical Center | Current | Accepting new patients | |
| Brainerd Medical Center Inc. | Current |
Accepting new patients | |
| Brainerd Medical Center Inc | Current |
Accepting new patients | |
| Astera Health | Current | Accepting new patients | |
| St. Joseph'S Medical Center | Past | Accepting new patients |
Locations
13114 Isle Dr
Baxter, MN 56425
Phone (218) 822-2400
523 N 3rd St
Brainerd, MN 56401
Phone (218) 828-7394
13060 Isle Dr
Brainerd, MN 56425
Phone (218) 454-5920
2024 S 6th St
Brainerd, MN 56401
Phone (218) 828-2880
4 Deerwood Ave NW
Wadena, MN 56482
Phone (218) 631-1100
415 Jefferson St N
Wadena, MN 56482
Phone (218) 631-3510
Interoperability endpoints
- echapman356451@direct.centracare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 59670 | MN | Yes |
Addresses
Primary practice location
2024 S 6TH St
Brainerd, MN 56401-4529
Mailing address
523 N 3Rd St
Brainerd, MN 56401-3054
Phone (218) 829-2861
Other providers in Brainerd, MN
- Central Minnesota Sleep Specialists, PLC
- Central MN Pediatric Dentists, PA
- Sonya K Chamberlain
- Aaron James Chan
- Nathan Alexander Chan
- Child & Adolescent Behavioral Health Services
- Christina Newell
- Shellie Cibuzar
- City of Brainerd
- Kimberly Clark
All providers in Brainerd, MN · Urology Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 8, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.