Active NPI
Brenda Ann Campbell, D.C.
- Chiropractor
- Mediapolis, IA
National Provider Identifier
1114048931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 06256
- Practice address
- 219 Wapello St S
Mediapolis, IA 52637-9422 - Phone
- (319) 394-9730
- Fax
- (319) 394-9731
- NPI assigned
- Apr 2, 2007
- Last updated
- Jan 17, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 06256 | IA | Primary |
Addresses
Primary practice location
219 Wapello St S
Mediapolis, IA 52637-9422
Mailing address
219 Wapello St S
Mediapolis, IA 52637-9422
Phone (319) 394-9730
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07230 | Other | IA | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06256 | IA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200528000000",
"number": "1114048931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "219 WAPELLO ST S",
"city": "MEDIAPOLIS",
"state": "IA",
"postal_code": "526379422",
"telephone_number": "319-394-9730",
"fax_number": "319-394-9731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "219 WAPELLO ST S",
"city": "MEDIAPOLIS",
"state": "IA",
"postal_code": "526379422",
"telephone_number": "319-394-9730",
"fax_number": "319-394-9731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "BRENDA",
"middle_name": "ANN",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-02",
"last_updated": "2008-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "06256",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "07230",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mediapolis, IA
- BCP Mediapolis, LLC (Azria Health Prairie Ridge)
- Molly E Bietz, DC
- Bradley Gordon Bork, DDS
- Carruthers Pharmacy PC (Carruthers Pharmacy)
- Community Ambulance Service for Northern Des Moines County
- Whitney Elizabeth Eberhardt, PT, DPT
- Nancy Terese Engelhardt, DC
- Five Star Quality Care Ia LLC (Prairie Ridge Care & Rehabilitation)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.