Glenn S Chapman III, D.O.

Primary specialty

Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X

License

OS 9761 Issued in FL

Practice address

4600 N Ocean Blvd
#101
Boynton Beach, FL 33435-7365

Phone

(561) 330-4300

Fax

(561) 330-4514

NPI assigned

Jun 15, 2006

Last updated

Oct 15, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Sports Medicine

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: glennchapmaniii@snso.allscriptsdirect.net

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.

• Surfside Non-Surgical Orthopedics

  • Neuromusculoskeletal Medicine & OMM Physician
  • Boynton Beach, FL
  • NPI 1245649920
  Medicare reassignment NPD Authorized official
• Richard a Cappiello M D P a

  • Rheumatology Physician
  • Boynton Beach, FL
  • NPI 1437118676
  NPD (past)

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444867200000",
    "number": "1982648390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 N OCEAN BLVD",
            "address_2": "#101",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334357365",
            "telephone_number": "561-330-4300",
            "fax_number": "561-330-4514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 N OCEAN BLVD",
            "address_2": "#101",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334357365",
            "telephone_number": "561-330-4300",
            "fax_number": "561-330-4514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPMAN",
        "first_name": "GLENN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2015-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "FL",
            "license": "OS 9761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00393644",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joshua Chang, MD
• Philip CHI-Luen Chang, M.D.
• Kyrah Breanna Changoo, DC
• Luis Fernando Chapa
• Tynashkee Chapman Colbert, LCSW
• Linda J Chapman, MS
• Charles Diagnostics LLC
• Charles J Lalane DMD LLC (Lalane Dental)
• Anide Charles
• Cornelia Charles, M.D

• Neuromusculoskeletal Medicine & OMM Physician in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Neuromusculoskeletal Medicine & OMM Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2015; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.