MEDICARE: DR. DAVID E CHAMBERS MD

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	207RC0000X	Cardiovascular Disease Physician	MD23541	TN
2	207RC0000X	Cardiovascular Disease Physician	4447	AK

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	060064225	OTHER		RAILROAD MEDICARE PIN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	4014894	OTHER	TN	BLUE CROSS BLUE SHIELD TN
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1649273897
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID E CHAMBERS MD

Provider Business Mailing Address
First Line	:	PO BOX 200149
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99520-0149
Country	:	US
Telephone Number	:	907-561-3211
Fax Number	:	907-562-7547

Provider Business Practice Location Address
First Line	:	247 N FIREWEED ST
Second Line	:	SUITE B
City	:	SOLDOTNA
State	:	AK
Zip	:	99669-7540
Country	:	US
Telephone Number	:	907-561-3211
Fax Number	:	907-562-7547

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	05/09/2016

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Directions to “ DR. DAVID E CHAMBERS MD” Practice Location

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