Barry Eugene Chapman, ARNP
Individual provider Active NPI Family Nurse Practitioner · Altus, OK
NPI 1528087590 · NPPES record last updated Jun 11, 2008
Key facts
- NPI
- 1528087590
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- R0069302 (OK)
- Practice address
- 1015 E Broadway St
Suite 102
Altus, OK 73521-5505 - Phone
- (580) 480-1600
- Fax
- (580) 480-1601
- NPI assigned
- Jul 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 668386 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jackson County Memorial Hospital Authority | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R0069302 | OK | Yes |
| Family Nurse Practitioner | 363LF0000X | 668386 | TX |
Addresses
Primary practice location
1015 E Broadway St
Suite 102
Altus, OK 73521-5505
Mailing address
1015 E Broadway St Ste 102
P.O. Box 575
Altus, OK 73521-5506
Phone (580) 480-1600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1769302 | Medicaid | OK | |
| 200072830A | Medicaid | OK |
Other providers in Altus, OK
- Tom Stephen Carter
- Heather Dawn Caskey
- Kayla Jean Causey
- Central Pharmacy
- Suneva Chambers
- Charles C Carter MD DPH PLLC
- Eugene Dunyo Chen
- Frances Kay Christopher
- City of Altus
- Kimberly Ranee Cline
All providers in Altus, OK · Family Nurse Practitioner in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.