Provider Demographics
NPI:1073504114
Name:CHAPMAN, LUCY GRAVLEE (MD)
Entity Type:Individual
Prefix:
First Name:LUCY
Middle Name:GRAVLEE
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 55310
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35255-5310
Mailing Address - Country:US
Mailing Address - Phone:205-731-9701
Mailing Address - Fax:
Practice Address - Street 1:1201 11TH AVE S
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35205-3423
Practice Address - Country:US
Practice Address - Phone:205-930-7246
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-10-28
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL11782207L00000X
AL00011782207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009941409Medicaid
AL009941408Medicaid
AL051539667OtherBCBS
MS04709055Medicaid
AL000087271Medicaid
AL051539668OtherBCBS
AL009941411Medicaid
AL051539669OtherBCBS
AL009941407Medicaid
AL051539670OtherBCBS
ALP00426304OtherRAILROAD MEDICARE
AL051539670OtherBCBS
AL009941411Medicaid
AL009941407Medicaid