Keith Allan Campbell, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME126881 Issued in FL

Practice address

11221 John Wycliffe Blvd
Orlando, FL 32832-7013

Phone

(407) 852-3880

Fax

(407) 852-3881

NPI assigned

Jan 2, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: kcampbell222813@adventhealth.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Urgent Care Centers of Brevard County LLC

  • Urgent Care Clinic/Center
  • Maitland, FL
  • NPI 1295367290

  Family Medicine

  Medicare reassignment NPD
• Adventist Health System Sunbelt, Inc.

  • Urgent Care Clinic/Center
  • Maitland, FL
  • NPI 1073565610
  Medicare reassignment
• Urgent Care Centers of Brevard County LLC

  • Urgent Care Clinic/Center
  • Melbourne, FL
  • NPI 1801594858

  Family Medicine

  NPD
• Bakersfield Emergency Medical Corp.

  • Emergency Medicine Physician
  • Bakersfield, CA
  • NPI 1578633137
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480118400000",
    "number": "1013074715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11221 JOHN WYCLIFFE BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328327013",
            "telephone_number": "407-852-3880",
            "fax_number": "407-852-3881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11221 JOHN WYCLIFFE BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328327013",
            "telephone_number": "407-852-3880",
            "fax_number": "407-852-3881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "KEITH",
        "middle_name": "ALLAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2016-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A067372",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME126881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Campbell, MS, CCC-SLP
• John Joseph Campbell
• Kadeem Omar Campbell, M.A.
• Kaitlyn Campbell
• Karen Sue Campbell, ARNP
• Kimberly Clinton Campbell, APRN, FNP-C
• Kimberly Renee Campbell
• Kristen V Campbell
• Libby Theo Campbell, PHD LMHC
• Maryjane Campbell, PHD

• Family Medicine Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2016; 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.

Verify at the official NPI Registry.