Organization Active NPI

Bruce M Chapman DPM PA

  • Podiatrist
  • Wilmington, NC
National Provider Identifier
1720131329
Registry record updated Apr 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
339 Issued in NC
Legal business name
BRUCE M CHAPMAN DPM PA
Practice address
1911 S 17TH St
Suite 130-B
Wilmington, NC 28401-6662
Phone
(910) 790-7840
Fax
(910) 790-7828
NPI assigned
Jan 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2010

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

Authorized official

Name
Dr. Bruce M Chapman, D.P.M.
Title
Owner
Phone
(910) 790-7840

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 339 NC Primary

Addresses

Primary practice location

1911 S 17TH St
Suite 130-B
Wilmington, NC 28401-6662

Mailing address

1911 S 17TH St
Suite 130-B
Wilmington, NC 28401-6662
Phone (910) 790-7840

Other identifiers 1

IdentifierTypeStateIssuer
7908142MedicaidNC

National Provider Directory

National Provider Directory

Locations

1911 S 17th St
Ste 130B
Wilmington, NC 28401
Phone (910) 790-7840

3534 College Rd S
Ste F
Wilmington, NC 28412
Phone (910) 793-4311

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270512000000",
    "number": "1720131329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 S 17TH ST",
            "address_2": "SUITE 130-B",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284016662",
            "telephone_number": "910-790-7840",
            "fax_number": "910-790-7828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 S 17TH ST",
            "address_2": "SUITE 130-B",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284016662",
            "telephone_number": "910-790-7840",
            "fax_number": "910-790-7828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE M CHAPMAN DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2010-04-06",
        "status": "A",
        "authorized_official_last_name": "CHAPMAN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-790-7840",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NC",
            "license": "339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7908142",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2010; 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.