Perry Anthony Chapdelaine Jr., MD

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

License

MD0000020838 Issued in TN

Practice address

229 Ward Circle
Suite B12
Brentwood, TN 37027-7518

Phone

(615) 377-6767

Fax

(615) 377-6768

NPI assigned

Aug 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114936770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 WARD CIRCLE",
            "address_2": "SUITE B12",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277518",
            "telephone_number": "615-377-6767",
            "fax_number": "615-377-6768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 WARD CIRCLE",
            "address_2": "SUITE B12",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277518",
            "telephone_number": "615-377-6767",
            "fax_number": "615-377-6768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPDELAINE",
        "first_name": "PERRY",
        "middle_name": "ANTHONY",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "TN",
            "license": "MD0000020838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4071527",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Keydai Chang, M.D.
• Fang Lan Chang
• Victor Chang, MD
• Change Dermatology PLLC
• Bethany Chantharath
• Tanaya Vishal Chaphekar
• Chivone Chapman
• Megan Chase
• Mackenzie Elise Chasteen
• John Chau, DC

• Public Health & General Preventive Medicine Physician in Brentwood, TN
• Providers in Brentwood, TN by specialty
• Public Health & General Preventive Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.