Organization Active NPI

Bridges Campbell & Woodall Inc

  • Family Medicine Physician
  • Anderson, IN
National Provider Identifier
1063457117
Registry record updated Jul 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BRIDGES CAMPBELL & WOODALL INC
Practice address
1302 S Madison Ave
Anderson, IN 46016-3451
Phone
(765) 644-3673
Fax
(765) 644-3680
NPI assigned
Jun 20, 2006
Last updated
Jul 12, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2013

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

Authorized official

Name
Dr. John W Woodall, M.D.NPI 1639120256
Title
President
Phone
(765) 644-3673

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

1302 S Madison Ave
Anderson, IN 46016-3451

Mailing address

1302 S Madison Ave
Anderson, IN 46016-3451
Phone (765) 644-3673

Other identifiers 1

IdentifierTypeStateIssuer
CB8065OtherPALMETTO GBA RAILROAD MED

National Provider Directory

National Provider Directory

Locations

1302 S Madison Ave
Anderson, IN 46016
Phone (317) 644-3673

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373587200000",
    "number": "1063457117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 S MADISON AVE",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460163451",
            "telephone_number": "765-644-3673",
            "fax_number": "765-644-3680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 S MADISON AVE",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460163451",
            "telephone_number": "765-644-3673",
            "fax_number": "765-644-3680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGES CAMPBELL & WOODALL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2013-07-12",
        "status": "A",
        "authorized_official_last_name": "WOODALL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "765-644-3673",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA RAILROAD MED",
            "identifier": "CB8065",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.