Healthcare Provider Details

I. General information

NPI: 1962140889
Provider Name (Legal Business Name): BRYCE MANN DECHAMPLAIN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MISS BRYCE ANNA DECHAMPLAIN

II. Dates (important events)

Enumeration Date: 05/20/2022
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 MANNING DR
CHAPEL HILL NC
27514-4220
US

IV. Provider business mailing address

113 QUARTERPATH
CARY NC
27518-9791
US

V. Phone/Fax

Practice location:
  • Phone: 984-974-1000
  • Fax:
Mailing address:
  • Phone: 843-325-3455
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberRTL22-1015
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: