Organization Active NPI

Campbell Urology, P.a.

  • Specialist
  • Lufkin, TX
National Provider Identifier
1215057906
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
K3118 Issued in TX
Legal business name
CAMPBELL UROLOGY, P.A.
Practice address
3 Medical Center Blvd
Lufkin, TX 75904-3173
Phone
(936) 639-6335
Fax
(936) 639-6980
NPI assigned
Mar 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2025

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

Authorized official

Name
Dr. Brent Barton Campbell, M.D.NPI 1326058363
Title
Owner
Phone
(936) 639-6335

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X K3118 TX Primary

Addresses

Primary practice location

3 Medical Center Blvd
Lufkin, TX 75904-3173

Mailing address

3 Medical Center Blvd
Lufkin, TX 75904-3173
Phone (936) 639-6335

Other identifiers 1

IdentifierTypeStateIssuer
149258902MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040326001189 TX Part B Supplier - Clinic/Group Practice 8022900794 Receives reassigned benefits from 1 practitioner
Practice locations: Lufkin, TX

National Provider Directory

National Provider Directory

Locations

3 Medical Center Blvd
Lufkin, TX 75904
Phone (936) 634-0527

501 S John Redditt Dr
Ste 200
Lufkin, TX 75904
Phone (936) 634-8827

1111 W Frank Ave
Ste 201
Lufkin, TX 75904
Phone (409) 639-6335

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746748800000",
    "number": "1215057906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MEDICAL CENTER BLVD",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043173",
            "telephone_number": "936-639-6335",
            "fax_number": "936-639-6980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MEDICAL CENTER BLVD",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043173",
            "telephone_number": "936-639-6335",
            "fax_number": "936-639-6980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMPBELL UROLOGY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "BARTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "936-639-6335",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "K3118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149258902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lufkin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2025; 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.

Verify at the official NPI Registry.