Individual provider Active NPI

Eugene J. Chapp, M.D.

  • Pediatrics Physician
  • Bloomfield Hills, MI
National Provider Identifier
1184837643
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
430128107 Issued in MI
Practice address
625 S Spinningwheel LN
Bloomfield Hills, MI 48304-1323
Phone
(248) 334-2926
NPI assigned
May 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 430128107 MI Primary

Addresses

Primary practice location

625 S Spinningwheel LN
Bloomfield Hills, MI 48304-1323

Mailing address

625 S Spinningwheel LN
Bloomfield Hills, MI 48304-1323
Phone (248) 334-2926

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
430128107MIMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1184837643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 S SPINNINGWHEEL LN",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483041323",
            "telephone_number": "248-334-2926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 S SPINNINGWHEEL LN",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483041323",
            "telephone_number": "248-334-2926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPP",
        "first_name": "EUGENE",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "430128107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.

Verify at the official NPI Registry.