Active NPI
Peter Gravel Campbell, M.D.
- Neurological Surgery Physician
- Shreveport, LA
National Provider Identifier
1235330432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 301918
- Practice address
- 1500 Line Ave Ste 200
Shreveport, LA 71101-4643 - Phone
- (318) 629-5555
- Fax
- (318) 629-5556
- NPI assigned
- May 29, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 301918 | LA | Primary |
Addresses
Primary practice location
1500 Line Ave Ste 200
Shreveport, LA 71101-4643
Mailing address
1500 Line Ave Ste 200
Shreveport, LA 71101-4643
Phone (318) 629-5555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurosurgery
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1500 Line Ave
Suite 200
Shreveport, LA 71101-4643
Phone (318) 629-5560
8961 Youree Dr
Shreveport, LA 71115-3001
Phone (318) 671-8772
Hospital & facility affiliations
- Specialists Hospital Shreveport
- Willis Knighton Medical Center
- Christus St Michael Health System
- Christus Shreveport-Bossier Health System
- Fmol Health St Francis
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 1467 |
| Laminectomy or laminotomy (partial removal of spine bones) | 78 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 301918 | LA | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spine Institute of Louisiana LLC | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
1500 Line Ave
Ste 200
Shreveport, LA 71101
Phone (318) 629-5555
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- peter.campbell.p1@direct.sil.nextgenshare.com
Organizations & group practices 3
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.
-
- Orthopaedic Surgery of the Spine Physician
- Shreveport, LA
- NPI 1629369210
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Shreveport, LA
- NPI 1659518041
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1417950106
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1912118134
-
- General Acute Care Hospital
- Monroe, LA
- NPI 1295723229
-
- General Acute Care Hospital
- Bossier City, LA
- NPI 1003968579
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1124170691
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1275685539
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1568461572
-
- General Acute Care Hospital
- Texarkana, TX
- NPI 1295736734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1235330432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 LINE AVE STE 200",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711014643",
"telephone_number": "318-629-5555",
"fax_number": "318-629-5556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 LINE AVE STE 200",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711014643",
"telephone_number": "318-629-5555",
"fax_number": "318-629-5556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "PETER",
"middle_name": "GRAVEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-29",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "LA",
"license": "301918",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.