Provider Demographics
NPI:1942266168
Name:CHAPMAN, ROBERTA C (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERTA
Middle Name:C
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 1:6736 WARE NECK RD
Mailing Address - Street 2:
Mailing Address - City:GLOUCESTER
Mailing Address - State:VA
Mailing Address - Zip Code:23061-5016
Mailing Address - Country:US
Mailing Address - Phone:713-392-3232
Mailing Address - Fax:713-392-3232
Practice Address - Street 1:6031 INDUSTRIAL DR
Practice Address - Street 2:
Practice Address - City:GLOUCESTER
Practice Address - State:VA
Practice Address - Zip Code:23061-3767
Practice Address - Country:US
Practice Address - Phone:804-210-1368
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-25
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101049690207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB138920OtherMEDICARE PTAN
TXG07638Medicare UPIN