Individual provider Active NPI

William David Campbell, D.P.M.

  • Foot Surgery Podiatrist
  • Birmingham, AL
National Provider Identifier
1083692974
Registry record updated May 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
322 Issued in AL
Practice address
1 Independence PLZ Ste 530
Birmingham, AL 35209-2646
Phone
(205) 445-0661
Fax
(205) 445-0664
NPI assigned
Jan 3, 2006
Last updated
May 29, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PO1928 FL
Foot Surgery Podiatrist 213ES0131X 322 AL Primary

Addresses

Primary practice location

1 Independence PLZ Ste 530
Birmingham, AL 35209-2646

Mailing address

1 Independence PLZ Ste 530
Birmingham, AL 35209-2646
Phone (205) 445-0661

Other practice location 1

2404 N Courtenay Pkwy
Merritt Island, FL 32953-4191
Phone (321) 452-1327

Other names 1

  • William David Campbell Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20151105001516 AL Practitioner - Podiatry 5092728501 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
322ALMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot Specialists of Birmingham, PC Foot & Ankle Surgery CurrentSince Feb 1, 2016 Accepting new patients
Merritt Island Foot & Ankle Inc Foot & Ankle Surgery CurrentSince Sep 8, 1999 Accepting new patients

Locations

1 Independence Plz
Ste 530
Birmingham, AL 35209
Phone (205) 445-0661

2404 N Courtenay Pkwy
Merritt Island, FL 32953
Phone (321) 452-1327

Organizations & group practices 2

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": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559088000000",
    "number": "1083692974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 INDEPENDENCE PLZ STE 530",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352092646",
            "telephone_number": "205-445-0661",
            "fax_number": "205-445-0664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 INDEPENDENCE PLZ STE 530",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352092646",
            "telephone_number": "205-445-0661",
            "fax_number": "205-445-0664"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2404 N Courtenay Pkwy",
            "address_purpose": "LOCATION",
            "city": "Merritt Island",
            "state": "FL",
            "postal_code": "329534191",
            "country_code": "US",
            "telephone_number": "321-452-1327",
            "fax_number": "321-454-9208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "WILLIAM",
        "middle_name": "DAVID",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-03",
        "last_updated": "2019-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO1928",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "AL",
            "license": "322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WILLIAM",
            "last_name": "CAMPBELL",
            "middle_name": "DAVID",
            "credential": "DPM",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.