Organization Active NPI

David Chamberland MD Inc

  • Rheumatology Physician
  • Medford, OR
National Provider Identifier
1285649988
Registry record updated Nov 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
MD26693 Issued in OR
Legal business name
DAVID CHAMBERLAND MD INC
Practice address
1365 Poplar Dr
Medford, OR 97504-5207
Phone
(541) 773-2233
Fax
(541) 773-2233
NPI assigned
Jul 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2007

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

Authorized official

Name
David Chamberland, MD
Title
President/Secretary
Phone
(541) 773-2233

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X MD26693 OR Primary

Addresses

Primary practice location

1365 Poplar Dr
Medford, OR 97504-5207

Mailing address

1365 Poplar Dr
Medford, OR 97504-5207
Phone (541) 773-2233

Other identifiers 1

IdentifierTypeStateIssuer
005971MedicaidOR

National Provider Directory

National Provider Directory

Locations

1365 Poplar Dr
Medford, OR 97504
Phone (541) 773-2233

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195430400000",
    "number": "1285649988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1365 POPLAR DR",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975045207",
            "telephone_number": "541-773-2233",
            "fax_number": "541-773-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 POPLAR DR",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975045207",
            "telephone_number": "541-773-2233",
            "fax_number": "541-773-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID CHAMBERLAND MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2007-11-19",
        "status": "A",
        "authorized_official_last_name": "CHAMBERLAND",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT/SECRETARY",
        "authorized_official_telephone_number": "541-773-2233",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "OR",
            "license": "MD26693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005971",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.