Active NPI
Brian J Chaffin, DO
- Hospitalist Physician
- Evansville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 02005958A
- Practice address
- 600 Mary St
Evansville, IN 47710-1658 - Phone
- (812) 450-3036
- Fax
- (812) 450-2193
- NPI assigned
- Apr 3, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 02005958A | IN | Primary |
| Internal Medicine Physician | 207R00000X | 02005958A | IN |
Addresses
Primary practice location
600 Mary St
Evansville, IN 47710-1658
Mailing address
PO Box 3407
Evansville, IN 47733-3407
Phone (812) 450-3036
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Pikeville, Kentucky College of Osteopathic Med, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
250 Park St
Bowling Green, KY 42101-1760
Phone (270) 745-1111
Hospital & facility affiliations
- The Medical Center (Bowling Green)
- The Medical Center at Franklin
- The Medical Center at Scottsville
- Cumberland County Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Commonwealth Health Corporation, Inc | Current | Accepting new patients | |
| Commonwealth Health Corporation, Inc | Current | Accepting new patients | |
| Hospital Medicine Services of Ky, LLC | Hospitalist | Current | Accepting new patients |
| Commonwealth Health Corporation, Inc. | Current | Accepting new patients | |
| Bowling Green-Warren County Community Hospital Corporation | Past | Accepting new patients |
Locations
1801 Ashley Cir
Bowling Green, KY 42104
Phone (270) 781-4330
350 Park St
Ste 203
Bowling Green, KY 42101
Phone (270) 781-0075
250 Park St
Bowling Green, KY 42101
Phone (270) 745-1000
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
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 and National Provider Directory roles.
-
- Neurology Physician
- Bowling Green, KY
- NPI 1881109304
-
- Hospitalist Physician
- Bowling Green, KY
- NPI 1215634373
-
- Urology Physician
- Bowling Green, KY
- NPI 1033783550
-
- Plastic and Reconstructive Surgery Physician
- Bowling Green, KY
- NPI 1104470699
-
- General Acute Care Hospital
- Bowling Green, KY
- NPI 1043293608
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bowling Green, KY
- NPI 1043293608
-
- Critical Access Hospital
- Scottsville, KY
- NPI 1710906565
-
- Critical Access Hospital
- Franklin, KY
- NPI 1831173467
-
- Critical Access Hospital
- Burkesville, KY
- NPI 1073567608
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593129600000",
"number": "1073045498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3407",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477333407",
"telephone_number": "812-450-3036",
"fax_number": "812-450-2193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 MARY ST",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477101658",
"telephone_number": "812-450-3036",
"fax_number": "812-450-2193"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAFFIN",
"first_name": "BRIAN",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-03",
"last_updated": "2020-06-26",
"certification_date": "2020-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IN",
"license": "02005958A",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "02005958A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.