Ronald Bret Campbell, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

O-338 Issued in ID

Practice address

1501 Hiland Ave
Suite a
Burley, ID 83318-2682

Phone

(208) 878-9432

Fax

(208) 878-4576

NPI assigned

Jul 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Kansas City University of Med & Biosciences, College of Osteo Med, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

R. Bret Campbell, DO and Assoc, LLC 3 clinicians

Ihc Health Services Inc 3,948 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Intermountain Home Care of Cassia Home health agency, Burley, ID, CCN 137016
• Cassia Regional Hospital Hospital, Burley, ID, CCN 131326
• Lost Rivers Medical Center Hospital, Arco, ID, CCN 131324
• Minidoka Memorial Hospital Hospital, Rupert, ID, CCN 131319

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• R Bret Campbell DO & Assoc LLC

  • Family Medicine Physician
  • Burley, ID
  • NPI 1952744641

  ID

  Medicare reassignment Care Compare group
• Ihc Health Services Inc

  • Multi-Specialty Clinic/Center
  • Burley, ID
  • NPI 1710156922

  ID

  Medicare reassignment NPD
• Ihc Health Services, Inc.

  • General Acute Care Hospital
  • Burley, ID
  • NPI 1497865315

  ID

  Medicare reassignment NPD
• Anthony J Anderson MD & Assoc LLC

  • Family Medicine Physician
  • Burley, ID
  • NPI 1558604231

  Family Medicine

  NPD
• Ihc Health Services Inc

  • Obstetrics & Gynecology Physician
  • Burley, ID
  • NPI 1043324585
  NPD
• Ihc Health Services, Inc.

  • Psychiatry Physician
  • St George, UT
  • NPI 1023843844
  NPD
• Emergency Physicians of Indiana PC

  • Emergency Medicine Physician
  • Auburn, IN
  • NPI 1003869454
  NPD (past)

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

• Ihc Health Services Inc

  • Home Health Agency
  • Burley, ID
  • NPI 1518287267
  Care Compare affiliation
• Ihc Health Services, Inc.

  • General Acute Care Hospital
  • Burley, ID
  • NPI 1497865315

  Hospital

  Care Compare affiliation
• Lost Rivers Medical Center

  • Critical Access Hospital
  • Arco, ID
  • NPI 1114925047

  Hospital

  Care Compare affiliation
• Minidoka Memorial Hospital

  • Critical Access Hospital
  • Rupert, ID
  • NPI 1679553531

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487203200000",
    "number": "1124041116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 POMERELLE AVE",
            "address_2": "STE B",
            "city": "BURLEY",
            "state": "ID",
            "postal_code": "833182013",
            "telephone_number": "208-878-9434",
            "fax_number": "208-878-4576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 HILAND AVE",
            "address_2": "SUITE A",
            "city": "BURLEY",
            "state": "ID",
            "postal_code": "833182682",
            "telephone_number": "208-878-9432",
            "fax_number": "208-878-4576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "RONALD",
        "middle_name": "BRET",
        "name_prefix": "Mr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2017-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "O-338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Burley Eye Care Center, L.L.P.
• Burley Family Dental PLLC
• Burley Kids Dental, LLC
• Burley Physical Therapy and Rehabilitation
• Sebastian David Calderon, LMSW
• Tyler Carlen, DPT
• Cassia Joint School District #151
• Cassia Joint School District #151
• Cassia Long Term Care, Inc.
• Cassia Physicians Billing

• All providers in Burley, ID
• Family Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; 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.

Verify at the official NPI Registry.