Individual provider Active NPI

Brayton R Campbell, DPM

  • Foot & Ankle Surgery Podiatrist
  • Loma Linda, CA
National Provider Identifier
1033406350
Registry record updated Jul 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
EL 1864 Issued in CA
Practice address
11201 Benton St
3 NW
Loma Linda, CA 92357-1000
Phone
(909) 825-7084
NPI assigned
Jul 7, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X EL 1864 CA Primary

Addresses

Primary practice location

11201 Benton St
3 NW
Loma Linda, CA 92357-1000

Mailing address

11852 Mount Vernon Ave Apt 471
Grand Terrace, CA 92313-8302
Phone (715) 416-0528

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150128002083 CA Practitioner - Podiatry 7214251966 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foot and Ankle Concepts IncGroup PAC ID 5395770085, 10 clinicians

Practice addresses (Care Compare)

302 N Milpas St
Santa Barbara, CA 93103-3204
Phone (805) 845-1245

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue77
Removal of skin lesions14
Removal of nail tissue1511
Removal or shaving of skin growth1425

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
EL 1864CAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot & Ankle Concepts, Inc Foot & Ankle Surgery CurrentSince Oct 31, 2017 Accepting new patients
Hassell Free Billing, LLC Current Accepting new patients
Santa Barbara Cottage Hospital Past Accepting new patients
University Foot and Ankle Institute a Podiatric Surgical Center Foot & Ankle Surgery Past Accepting new patients

Locations

3901 Las Posas Rd
Ste 204
Camarillo, CA 93010
Phone (805) 383-2929

2100 Solar Dr
Ste 102
Oxnard, CA 93036
Phone (805) 650-8333

650 Commerce Ave
Ste D
Palmdale, CA 93551
Phone (661) 272-6898

230 W Pueblo St
Fl 1
Santa Barbara, CA 93105

302 N Milpas St
Santa Barbara, CA 93103
Phone (805) 845-1245

5370 Hollister Ave
Ste 7
Santa Barbara, CA 93111
Phone (805) 338-9755

3180 Willow Ln
Ste 108
Thousand Oaks, CA 91361
Phone (805) 370-3338

250 S Mills Rd
Ste 101
Ventura, CA 93003
Phone (805) 650-8333

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309996800000",
    "number": "1033406350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11852 MOUNT VERNON AVE APT 471",
            "city": "GRAND TERRACE",
            "state": "CA",
            "postal_code": "923138302",
            "telephone_number": "715-416-0528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11201 BENTON ST",
            "address_2": "3 NW",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923571000",
            "telephone_number": "909-825-7084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "BRAYTON",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-07",
        "last_updated": "2011-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "EL 1864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loma Linda, CA

Sources for this page

Verify at the official NPI Registry.