Physician Compare National (NPI:1750805941)

HEALTHCARE PROVIDER: ROGER BRYAN CHAPMAN FNP-C

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1750805941
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2466727516
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20171016002341
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CHAPMAN
	Individual professional last name
Provider First Name	ROGER
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2017
	Individual professional's medical school graduation year
Primary Specialty	NURSE PRACTITIONER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	6115 NEW COPELAND RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 430 HEADACHE AND PAIN INSTITUTE PLLC
	Group Practice or individual's line 2 address
City	TYLER
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	757036359
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	450864
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	BAYLOR SCOTT & WHITE TEXAS SPINE & JOINT HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	450083
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	EAST TEXAS MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	450102
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	MOTHER FRANCES HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y