Individual provider Active NPI

Alan Craig Chapman, MD

  • Otolaryngology Physician
  • Montgomery, AL
National Provider Identifier
1467543058
Registry record updated Jul 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
12713 Issued in AL
Practice address
1773 Platt PL
Montgomery, AL 36117-7762
Phone
(334) 284-5470
Fax
(334) 284-9714
NPI assigned
Sep 27, 2006
Last updated
Jul 6, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 12713 AL Primary

Addresses

Primary practice location

1773 Platt PL
Montgomery, AL 36117-7762

Mailing address

1773 Platt PL
Montgomery, AL 36117-7762
Phone (334) 284-5470

Other identifiers 3

IdentifierTypeStateIssuer
000016016MedicaidAL
015016016OtherALBLUE CROSS BLUE SHIELD
040010401OtherALRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110927000576 AL Practitioner - Otolaryngology 8022291673 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of South Carolina School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ENT Associates of Alabama PAGroup PAC ID 0042233462, 3 clinicians

Practice addresses (Care Compare)

1773 Platt PL
Montgomery, AL 36117-7762
Phone (334) 272-8644

1773 Platt Place
Montgomery, AL 36117-7762

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
12713ALMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
ENT Associates of Alabama PA Otolaryngology CurrentSince Jul 24, 1996 Accepting new patients
Charles Henderson Memorial Association Past Accepting new patients

Locations

1773 Platt Pl
Montgomery, AL 36117
Phone (334) 272-8644

2055 E South Blvd
Ste 908
Montgomery, AL 36116
Phone (334) 284-6500

Networks

  • bcbs alabama network 01H0
  • bcbs alabama network 01E0
  • bcbs alabama network 01A0
  • bcbs alabama network 01B0
  • bcbs alabama network 01G0

Interoperability endpoints

  • Direct secure messaging: alan.chapman@direct.baptistfirst.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309910400000",
    "number": "1467543058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1773 PLATT PL",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361177762",
            "telephone_number": "334-284-5470",
            "fax_number": "334-284-9714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1773 PLATT PL",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361177762",
            "telephone_number": "334-284-5470",
            "fax_number": "334-284-9714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPMAN",
        "first_name": "ALAN",
        "middle_name": "CRAIG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2011-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "AL",
            "license": "12713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000016016",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "015016016",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "040010401",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.