Healthcare Provider Details

I. General information

NPI: 1649910571
Provider Name (Legal Business Name): RYAN ANDREW CHAPMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2022
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ONE MEDICAL CENTER BLVD
WINSTON SALEM NC
27157-0001
US

IV. Provider business mailing address

2766 CHEROKEE LN
WINSTON SALEM NC
27103-4752
US

V. Phone/Fax

Practice location:
  • Phone: 910-616-5306
  • Fax:
Mailing address:
  • Phone: 910-616-5306
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number2024-03472
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: