Active NPI
David W. Campbell, MD
- Family Medicine Physician
- Dublin, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101052855
- Practice address
- 4676 Lee Hwy
Dublin, VA 24084-3871 - Phone
- (540) 674-8805
- Fax
- (540) 674-8670
- NPI assigned
- Mar 8, 2006
- Last updated
- Jul 23, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Legal Medicine | 173000000X | 0101052855 | VA | |
| Family Medicine Physician | 207Q00000X | 0101052855 | VA | Primary |
Addresses
Primary practice location
4676 Lee Hwy
Dublin, VA 24084-3871
Mailing address
4615 Blue Heron Dr
Christiansburg, VA 24073-5997
Phone (540) 382-2994
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010091802 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101052855 | VA | MD | Legal Medicine |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Geriatric Solutions PLLC | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Washington Tacoma PLLC | Family Medicine | Current | Accepting new patients |
| Carilion Healthcare Corporation | Past | Accepting new patients | |
| Carilion Healthcare Corporation | Past | Accepting new patients | |
| Dublin Family Practice PC | Family Medicine | Past | Accepting new patients |
Locations
1475 Virginia Ave
Harrisonburg, VA 22802
Phone (540) 564-3400
6701 Peters Creek Rd
Ste 110
Roanoke, VA 24019
Phone (800) 765-7130
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- NPI 1740911585
Family Medicine, VA
-
- Durable Medical Equipment & Medical Supplies
- Blacksburg, VA
- NPI 1407667256
-
dba Bridgewater College Student Health Center
- Multi-Specialty Clinic/Center
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- NPI 1447206370
-
- Family Medicine Physician
- Dublin, VA
- NPI 1811908437
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279843200000",
"number": "1003884966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4615 BLUE HERON DR",
"city": "CHRISTIANSBURG",
"state": "VA",
"postal_code": "240735997",
"telephone_number": "540-382-2994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4676 LEE HWY",
"city": "DUBLIN",
"state": "VA",
"postal_code": "240843871",
"telephone_number": "540-674-8805",
"fax_number": "540-674-8670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "DAVID",
"middle_name": "W.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-08",
"last_updated": "2010-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "173000000X",
"taxonomy_group": "",
"desc": "Legal Medicine",
"state": "VA",
"license": "0101052855",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101052855",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010091802",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dublin, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.