Active NPI
David Ray Chandler, MD
- Orthopaedic Surgery Physician
- Gulf Breeze, FL
National Provider Identifier
1144224122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- ME78171
- Practice address
- 1040 Gulf Breeze Pkwy
Suite 200
Gulf Breeze, FL 32561-7809 - Phone
- (850) 916-3700
- Fax
- (850) 916-3710
- NPI assigned
- Jun 8, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | ME78171 | FL | Primary |
Addresses
Primary practice location
1040 Gulf Breeze Pkwy
Suite 200
Gulf Breeze, FL 32561-7809
Mailing address
PO Box 17567
Pensacola, FL 32522-7567
Phone (850) 916-8490
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 592-32206 | Other | AL | BCBS |
| 47077 | Other | FL | BLUE CROSS BLUE SHIELD |
| 592-09144 | Other | AL | BLUE CROSS BLUE SHIELD OF ALABAMA |
| 019300500 | Medicaid | FL | |
| 590-53038 | Other | AL | BLUE CROSS BLUE SHIELD OF ALABAMA |
| A524 | Other | FL | HEALTH FIRST NETWORK |
| 2569167-00 | Medicaid | FL | |
| 59232234 | Other | AL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME78171 | FL | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Chiropractic PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Pensacola, FL
- NPI 1306252820
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604880000000",
"number": "1144224122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 17567",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325227567",
"telephone_number": "850-916-8490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1040 GULF BREEZE PKWY",
"address_2": "SUITE 200",
"city": "GULF BREEZE",
"state": "FL",
"postal_code": "325617809",
"telephone_number": "850-916-3700",
"fax_number": "850-916-3710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANDLER",
"first_name": "DAVID",
"middle_name": "RAY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-08",
"last_updated": "2020-11-09",
"certification_date": "2020-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "FL",
"license": "ME78171",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "592-32206",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "47077",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF ALABAMA",
"identifier": "592-09144",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "019300500",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF ALABAMA",
"identifier": "590-53038",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH FIRST NETWORK",
"identifier": "A524",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2569167-00",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "59232234",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gulf Breeze, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.