Active NPI
William Egbert Campbell Jr., MD
- Diagnostic Radiology Physician
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 31965
- Practice address
- 700 E Morehead St Ste 300
Charlotte, NC 28202-2742 - Phone
- (704) 334-7800
- NPI assigned
- Jan 17, 2006
- 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 |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | 31965 | NC | |
| Diagnostic Radiology Physician | 2085R0202X | 31965 | NC | Primary |
Addresses
Primary practice location
700 E Morehead St Ste 300
Charlotte, NC 28202-2742
Mailing address
700 E Morehead St Ste 300
Charlotte, NC 28202-2742
Other practice location 1
222 N Lafayette St
Suite 01
Shelby, NC 28150-4450
Phone (704) 482-3880
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8920986 | Medicaid | NC | |
| 18881 | Other | SC | SC MEDICAL LICENSE |
| 20986 | Other | NC | NC BLUE CROSS BLUE SHIELD |
| 31965 | Other | NC | N MEDICAL LICENSE |
| MD030659 | Other | PA | PA MEDICAL LICENSE |
| N31965 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Wake Forest University School of Medicine, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
724 Aubrey Bell Dr
Matthews, NC 28105-5055
Phone (704) 295-3550
Hospital & facility affiliations
- Atrium Health Cleveland
- Carolinas Medical Center/Behav Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31965 | NC | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Union Medical Services LLC | Diagnostic Radiology | Current | Accepting new patients |
| Charlotte Radiology P a | Current | Accepting new patients | |
| Carolinas Imaging Services, LLC | Current | Accepting new patients | |
| Wake Forest Health Network, LLC | Past | Accepting new patients | |
| High Point Radiological Services | Diagnostic Radiology | Past | Accepting new patients |
Locations
12335 N Community House Rd
Ste B
Charlotte, NC 28277
700 E Morehead St
Ste 300
Charlotte, NC 28202
Phone (704) 442-4390
724 Aubrey Bell Dr
Matthews, NC 28105
Phone (704) 295-3550
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 and National Provider Directory roles.
-
- Specialist
- Charlotte, NC
- NPI 1649220443
-
- Physiological Laboratory
- Rock Hill, SC
- NPI 1780113324
-
- Diagnostic Radiology Physician
- High Point, NC
- NPI 1497733554
-
- Pediatrics Physician
- Greensboro, NC
- NPI 1053175299
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Shelby, NC
- NPI 1669348991
-
- Psychiatric Hospital Unit
- Charlotte, NC
- NPI 1053358945
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1295789907
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1376985135
-
- Children's Rehabilitation Hospital
- Charlotte, NC
- NPI 1699829887
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Charlotte, NC
- NPI 1720029705
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701302400000",
"number": "1043299175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 E MOREHEAD ST STE 300",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282022742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 E MOREHEAD ST STE 300",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282022742",
"telephone_number": "704-334-7800"
}
],
"practiceLocations": [
{
"address_1": "222 N Lafayette St",
"address_2": "Suite 01",
"address_purpose": "LOCATION",
"city": "Shelby",
"state": "NC",
"postal_code": "281504450",
"country_code": "US",
"telephone_number": "704-482-3880",
"fax_number": "704-487-0294",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAMPBELL",
"first_name": "WILLIAM",
"middle_name": "EGBERT",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-17",
"last_updated": "2023-11-30",
"certification_date": "2023-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "NC",
"license": "31965",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NC",
"license": "31965",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8920986",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SC MEDICAL LICENSE",
"identifier": "18881",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NC BLUE CROSS BLUE SHIELD",
"identifier": "20986",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "N MEDICAL LICENSE",
"identifier": "31965",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA MEDICAL LICENSE",
"identifier": "MD030659",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "N31965",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.