MEDICARE: A. BRADLEY CHAPMAN MD AND FRANK E. MICHENER MD LTD.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	0101021474	VA
2	2084P0800X	Psychiatry Physician	0101024043	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043344583
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A. BRADLEY CHAPMAN MD AND FRANK E. MICHENER MD LTD.

Provider Business Mailing Address
First Line	:	2059 HUNTINGTON AVE
Second Line	:	SUITE 108
City	:	ALEXANDRIA
State	:	VA
Zip	:	22303-1636
Country	:	US
Telephone Number	:	703-960-4901
Fax Number	:	703-960-4952

Provider Business Practice Location Address
First Line	:	2059 HUNTINGTON AVE
Second Line	:	SUITE 108
City	:	ALEXANDRIA
State	:	VA
Zip	:	22303-1636
Country	:	US
Telephone Number	:	703-960-4901
Fax Number	:	703-960-4952

Authorized Official
Title or Position	:	TREASURER
Name	:	FRANK E MICHENER
Credential	:	M.D
Telephone Number	:	703-960-4901

Provider Enumeration Date	:	03/15/2007
Last Update Date	:	08/22/2020

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