Active NPI
Brook Ashley Campbell, DO
- Pediatrics Physician
- Lees Summit, MO
National Provider Identifier
1124284294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 94-07052
- Practice address
- 1425 Northwest Blue Parkway
Lees Summit, MO 64086 - Phone
- (816) 524-5600
- NPI assigned
- Jul 29, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 94-07052 | KS | Primary |
Addresses
Primary practice location
1425 Northwest Blue Parkway
Lees Summit, MO 64086
Mailing address
1425 Northwest Blue Parkway
Lees Summit, MO 64086
Phone (816) 524-5600
Other names 1
- Ms. Brook Ashley Sanders
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
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 94-07052 | KS | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centerpoint Medical Center of Independence, LLC | Past | Accepting new patients | |
| Children'S Mercy-Cockerell and McIntosh Pediatrics, Inc | Pediatrics | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- General Acute Care Hospital
- Independence, MO
- NPI 1942247044
-
- Pediatrics Physician
- Blue Springs, MO
- NPI 1811528656
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344297600000",
"number": "1124284294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1425 NORTHWEST BLUE PARKWAY",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "64086",
"telephone_number": "816-524-5600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1425 NORTHWEST BLUE PARKWAY",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "64086",
"telephone_number": "816-524-5600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "BROOK",
"middle_name": "ASHLEY",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-29",
"last_updated": "2012-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "KS",
"license": "94-07052",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BROOK",
"last_name": "SANDERS",
"middle_name": "ASHLEY",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Lees Summit, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.