Active NPI
Bruce M Chapman DPM PA
- Podiatrist
- Wilmington, NC
National Provider Identifier
1720131329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 339
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7908142 | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
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.