Active NPI
Bruce Fielding Campbell, D. C.
- Chiropractor
- Indianapolis, IN
National Provider Identifier
1194849257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 08000958A
- Practice address
- 7770 Michigan Rd
Suite E
Indianapolis, IN 46268-2375 - Phone
- (317) 876-7770
- NPI assigned
- Mar 16, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 | 08000958A | IN | Primary |
Addresses
Primary practice location
7770 Michigan Rd
Suite E
Indianapolis, IN 46268-2375
Mailing address
7770 North Michigan Road
Suite E
Indianapolis, IN 46268-2373
Phone (317) 876-7770
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090217000417 | IN | Practitioner - Chiropractic | 3577628064 | Practice locations: Indianapolis, IN |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08000958A | IN | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1194849257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7770 NORTH MICHIGAN ROAD",
"address_2": "SUITE E",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462682373",
"telephone_number": "317-876-7770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7770 MICHIGAN RD",
"address_2": "SUITE E",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462682375",
"telephone_number": "317-876-7770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "BRUCE",
"middle_name": "FIELDING",
"name_prefix": "Dr.",
"credential": "D. C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IN",
"license": "08000958A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.