Provider Demographics
NPI:1275584914
Name:CHAPMAN, JAMES M (MD)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:M
Last Name:CHAPMAN
Suffix:
Gender:M
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 6069
Mailing Address - Street 2:
Mailing Address - City:WEST COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29171-6069
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:565 COLUMBIA AVE
Practice Address - Street 2:STE 200
Practice Address - City:CHAPIN
Practice Address - State:SC
Practice Address - Zip Code:29036
Practice Address - Country:US
Practice Address - Phone:803-314-9100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-15
Last Update Date:2021-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08064700207Q00000X
SC27522207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00314779OtherRAILROAD MEDICARE
P3714388OtherOXFORD
5862A1OtherEMPIRE BC/BS NY
2669390OtherUNITED HEALTHCARE
7552844OtherAETNA
NJ0105643Medicaid
3K4762OtherHEALTH NET
I52493Medicare UPIN
100993DCHMedicare PIN