Individual provider Active NPI

David W. Campbell, MD

  • Family Medicine Physician
  • Dublin, VA
National Provider Identifier
1003884966
Registry record updated Jul 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101052855 Issued in VA
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, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
010091802MedicaidVA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041005000803 VA Practitioner - Family Practice 0840259941 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101052855VAMDLegal Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Geriatric Solutions PLLC CurrentSince Jun 1, 2021 Accepting new patients
Hospitalist Medicine Physicians of Washington Tacoma PLLC Family Medicine CurrentSince Jan 14, 2024 Accepting new patients
Carilion Healthcare Corporation Past Accepting new patients
Carilion Healthcare Corporation PastSince Oct 1, 2006 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.

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

Verify at the official NPI Registry.