Provider Demographics
NPI:1437175429
Name:CHAPMAN, PHILIP RANDALL (MD)
Entity Type:Individual
Prefix:
First Name:PHILIP
Middle Name:RANDALL
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 1:500 22ND STREET SOUTH
Mailing Address - Street 2:SUITE 510 FINANCE
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35233-3110
Mailing Address - Country:US
Mailing Address - Phone:205-731-9662
Mailing Address - Fax:
Practice Address - Street 1:619 19TH STREET SOUTH
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35249-1900
Practice Address - Country:US
Practice Address - Phone:205-934-4011
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD000407382085R0202X
AL275522085R0202X, 2085N0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085N0700XAllopathic & Osteopathic PhysiciansRadiologyNeuroradiology
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009913899Medicaid
AL051549108OtherBCBS
AL009913897Medicaid
AL009913901Medicaid
AL051546480OtherBCBS
AL051546481OtherBCBS
P00608183OtherRAILROAD MEDICARE
AL051546482OtherBCBS
MS00118740Medicaid
AL009913900Medicaid
AL051546479OtherBCBS
AL101952Medicaid
AL009913897Medicaid