Healthcare Provider Details

I. General information

NPI: 1447816822
Provider Name (Legal Business Name): BRYCE FORREST CHAPMAN DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2019
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13686 COURSEY BLVD
BATON ROUGE LA
70817-1303
US

IV. Provider business mailing address

5959 S SHERWOOD FOREST BLVD
BATON ROUGE LA
70816-6038
US

V. Phone/Fax

Practice location:
  • Phone: 225-246-8000
  • Fax: 225-246-8720
Mailing address:
  • Phone: 225-246-8000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number05546
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number322797
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: