Provider Demographics
NPI:1962480699
Name:CHAPMAN, BRYAN (DO)
Entity Type:Individual
Prefix:DR
First Name:BRYAN
Middle Name:
Last Name:CHAPMAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 OYSTER SHELL LN
Mailing Address - Street 2:
Mailing Address - City:HILTON HEAD ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29926-2609
Mailing Address - Country:US
Mailing Address - Phone:304-633-8383
Mailing Address - Fax:
Practice Address - Street 1:44 OYSTER SHELL LN
Practice Address - Street 2:
Practice Address - City:HILTON HEAD ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29926-2609
Practice Address - Country:US
Practice Address - Phone:304-633-8385
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-04
Last Update Date:2021-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV1156207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0042372000Medicaid
WV000427615OtherBLUE CROSS BLUE SHIELD
OH0917744Medicaid
WV1064623OtherWV DWC
WVWV0113AOtherMEDICARE PTAN
WV0690603Medicare PIN
WVP00347786Medicare PIN
WV0042372000Medicaid
OH0917744Medicaid
WV1064623OtherWV DWC
WVP00188381Medicare PIN
WV000427615OtherBLUE CROSS BLUE SHIELD
WV0690602Medicare PIN