Active NPI
Bruce Manning Chapman, D.P.M.
- Podiatrist
- Wilmington, NC
National Provider Identifier
1952343063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 339
- Practice address
- 1911 S 17TH St
Suite 130-B
Wilmington, NC 28401-6662 - Phone
- (910) 790-7840
- Fax
- (910) 790-7828
- NPI assigned
- Jun 12, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
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 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
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.
-
- Podiatrist
- Wilmington, NC
- NPI 1720131329
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1952343063",
"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": {
"last_name": "CHAPMAN",
"first_name": "BRUCE",
"middle_name": "MANNING",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_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
- Tiyana Kia Chaney-Taylor, PHD, LCSW, BC-TMH
- Change the Game Performance Therapy, Inc.
- Ami Mitulkumar Changela, DO
- Changing Minds PLLC
- Changing Tides Counseling and Coaching Services
- Daniel Chapman, DDS
- Lisa Ann Chapman, RPH
- Katherine Marie Chappell, LCSWA
- Charis Counseling Services, PLLC
- Leon Charkoudian, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.