MEDICARE: DR. BRYCE FORREST CHAPMAN DO

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	390200000X	Student in an Organized Health Care Education/Training Program		MI
2	207Q00000X	Family Medicine Physician	05546	KY

General Provider Information

NPI Number	:	1447816822
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRYCE FORREST CHAPMAN DO

Provider Business Mailing Address
First Line	:	PO BOX 909
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40201-0909
Country	:	US
Telephone Number	:	502-588-0330
Fax Number	:

Provider Business Practice Location Address
First Line	:	8113 BARDSTOWN RD
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40291-3441
Country	:	US
Telephone Number	:	502-239-9920
Fax Number	:

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

Provider Enumeration Date	:	05/11/2019
Last Update Date	:	06/27/2023

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