NPIMap

Campbell Clinic PC

Organization Active NPI Durable Medical Equipment & Medical Supplies · Bristol, TN

NPI 1245199264 · NPPES record last updated Jan 16, 2026

Key facts

NPI
1245199264
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Legal business name
CAMPBELL CLINIC PC
Practice address
1 Medical Park Blvd Suite 400E
Bristol, TN 37620-6529
Phone
(423) 844-5400
NPI assigned
Jan 16, 2026
Organization subpart
Yes
Parent organization (as reported)
CAMPBELL CLINIC PC

Authorized official

Name
Daniel Shumate
Title
Ceo
Phone
(901) 759-3100

Other NPIs with the same Medicare PAC ID 22

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners 229

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

View all 229

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TN

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20260409003963 TN DME Supplier - Physician - Neurosurgery 9638082076 Practice locations: Bristol, TN

National Provider Directory

Tax ID family
Campbell Clinic (25 organizations share this tax ID)
Part of
Campbell Clinic

Locations

1 Medical Park Blvd
Ste 400E
Bristol, TN 37620
Phone (423) 844-5400

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Yes

Addresses

Primary practice location

1 Medical Park Blvd Suite 400E
Bristol, TN 37620-6529

Mailing address

1400 S Germantown Rd
Germantown, TN 38138-2205
Phone (901) 759-3100

Other providers in Bristol, TN

All providers in Bristol, TN · Durable Medical Equipment & Medical Supplies in Tennessee

Sources for this page

Verify at the official NPI Registry.