NPIMap

Individual provider Active NPI

Matthew P Chamberlain, MD

  • Internal Medicine Physician
  • Rocky Mount, NC
National Provider Identifier
1053305722
Registry record updated Feb 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35293 Issued in NC
Practice address
91 Enterprise Dr
Rocky Mount, NC 27804-9590
Phone
(252) 451-3200
Fax
(252) 937-3107
NPI assigned
Sep 8, 2005
Last updated
Feb 20, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35293 NC Primary

Addresses

Primary practice location

91 Enterprise Dr
Rocky Mount, NC 27804-9590

Mailing address

PO Box 7200
Rocky Mount, NC 27804-0200
Phone (252) 937-0200

Other practice location 1

600 Nash Medical Arts Mall
Rocky Mount, NC 27804-1410
Phone (252) 451-3200

Other practice location 2

921 N Winstead Ave
Rocky Mount, NC 27804-8749
Phone (252) 937-0300

Other identifiers 5

IdentifierTypeStateIssuer
8921939MedicaidNC
110095560OtherNCRAILROAD MEDICARE
21939OtherNCBCBSNC
5711074OtherNCCIGNA HEALTHCARE
61344OtherNCMEDCOST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060127000813 NC Practitioner - Internal MedicinePractitioner - Family Practice 2062426125 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Brody School of Medicine at East Carolina University, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Proactive Therapy of North Carolina IncGroup PAC ID 6305753120, shared by 5 NPIs, 540 clinicians
Nash Hospitals IncGroup PAC ID 4284521568, 39 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians
Boice-Willis Clinic PAGroup PAC ID 0143122382, 58 clinicians

Practice addresses (Care Compare)

2303 Wellington Dr SW
Suite B
Wilson, NC 27893-8620
Phone (252) 243-6818

2460 Curtis Ellis Dr
Rocky Mount, NC 27804-2237
Phone (252) 962-8199

2701 Pickett Rd
Durham, NC 27705-5688
Phone (919) 419-9600

91 Enterprise Dr
Rocky Mount, NC 27804-9590
Phone (252) 451-3100

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35293NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nash Hospitals Inc CurrentSince Feb 12, 2014 Accepting new patients
Nash Hospitals Inc CurrentSince Feb 12, 2014 Accepting new patients
Boice-Willis Clinic PA Internal Medicine CurrentSince Jul 1, 1994 Accepting new patients
Boice-Willis Clinic, PA CurrentSince Jul 1, 1994 Accepting new patients
Nash Hospitals, Inc. Current Accepting new patients

Locations

2460 Curtis Ellis Dr
Rocky Mount, NC 27804
Phone (252) 443-8199

3221 Zebulon Rd
Rocky Mount, NC 27804

600 Nash Medical Arts Mall
Rocky Mount, NC 27804
Phone (252) 451-3200

901 N Winstead Ave
Rocky Mount, NC 27804
Phone (252) 937-0200

91 Enterprise Dr
Rocky Mount, NC 27804
Phone (252) 451-3100

91 Enterprise Dr
Fl 2
Rocky Mount, NC 27804

921 N Winstead Ave
Rocky Mount, NC 27804
Phone (252) 937-0300

Interoperability endpoints

  • Direct secure messaging: matthew.chamberlain@bwc.eclinicaldirectplus.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550620800000",
    "number": "1053305722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7200",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278040200",
            "telephone_number": "252-937-0200",
            "fax_number": "252-451-0056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 ENTERPRISE DR",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278049590",
            "telephone_number": "252-451-3200",
            "fax_number": "252-937-3107"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Nash Medical Arts Mall",
            "address_purpose": "LOCATION",
            "city": "Rocky Mount",
            "state": "NC",
            "postal_code": "278041410",
            "country_code": "US",
            "telephone_number": "252-451-3200",
            "fax_number": "252-937-3107",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "921 N Winstead Ave",
            "address_purpose": "LOCATION",
            "city": "Rocky Mount",
            "state": "NC",
            "postal_code": "278048749",
            "country_code": "US",
            "telephone_number": "252-937-0300",
            "fax_number": "252-937-3108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAMBERLAIN",
        "first_name": "MATTHEW",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2019-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "35293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8921939",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110095560",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "21939",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE",
            "identifier": "5711074",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "61344",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Mount, NC

Sources for this page

Verify at the official NPI Registry.