Chantal Bich Phuong Wickman, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

W3632 Issued in TX

Practice address

1542 Tulane Ave # T4M2
New Orleans, LA 70112-2865

Phone

(504) 568-5600

NPI assigned

Apr 5, 2022

Last updated

Sep 10, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Chantal Bich Phuong Pham Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in LA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1669113734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1542 TULANE AVE # T4M2",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122865",
            "telephone_number": "504-568-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1542 TULANE AVE # T4M2",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122865",
            "telephone_number": "504-568-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICKMAN",
        "first_name": "CHANTAL",
        "middle_name": "BICH PHUONG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-05",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "350280",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "W3632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "lsuhsc.com",
            "affiliation": "Y",
            "affiliationName": "LSUHSC New Orleans",
            "address_1": "1542 Tulane Ave # T4M2",
            "city": "New Orleans",
            "state": "LA",
            "country_code": "US",
            "postal_code": "701122865",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CHANTAL",
            "last_name": "PHAM",
            "middle_name": "BICH PHUONG",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Whole Life Solutions
• Wholeness Behavioral Health Sevices, LLC
• Katina Whorton
• Anna McGee Wibright
• Alvah Tyson Wickboldt Jr., M.D.
• Terrance Wickman
• Nimmi Nimesha Wickramasuriya, M.D.
• Christian Widdows, M.D.
• Kyle Emily Widmer, M.D.
• Brannon Elizabeth Wiedemann, M.D.

• Internal Medicine Physician in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Internal Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.