Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1093274342 Individual Practitioner Male Practitioner

Michael Joseph Chisam

General Practice • Camp Lejeune, NC

Professional Overview & Biography Verified Profile Summary

Michael Chisam is a registered healthcare professional specializing in General Practice in Camp Lejeune, NC. Practice services are available at 100 BREWSTER BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

100 Brewster Blvd

Camp Lejeune, NC 285472575

Telephone 7579532339
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Camp Lejeune, NC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 27.0 Yrs
State Avg: 26.3 Yrs
Regional Practice Density
27 Specialists

Practicing in Camp Lejeune, NC (265 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-01-07
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License NC 2020-03385

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Katrina Wells

Radiology - Diagnostic Radiology

NPI 1043770316
NPI 1073133989

Doctor of Medicine (M.D.)

NPI 1083116297

Doctor of Medicine (M.D.)

Johanna Meyer

Student in an Organized Health Care Education/Training Program

NPI 1083237317
Dr. Brett Flaherty , MD

General Practice

NPI 1104401132

Doctor of Medicine (M.D.)

Dr. Joseph Russell , DDS

Dentist - Oral and Maxillofacial Surgery

NPI 1114650678

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location January 11, 2022

Registered at 100 BREWSTER BLVD, CAMP LEJEUNE, NC 285472575 (Tel: 7579532339)

📍
Updated Business Mailing Address January 11, 2022

Registered at NAVAL MEDICAL CENTER CAMP LEJEUNE, 100 BREWSTER BLVD, CAMP LEJEUNE, NC 285472538

NPI Profile Active March 17, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location March 17, 2019

Registered at 620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 237082111 (Tel: 7579532339)

📍
Updated Business Mailing Address March 17, 2019

Registered at 5212 LOMBARD ST, CHESAPEAKE, VA 233213278

👤
Provider Name / Credentials Updated March 17, 2019

Recorded as MICHAEL CHISAM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2019

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 17, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1093274342
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 17, 2019
Last Update: January 11, 2022
Sole Proprietor: Yes

Mailing Address

Naval Medical Center Camp Lejeune, 100 Brewster Blvd

Camp Lejeune, NC 285472538

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.