Brent Jeremy Campbell, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2018 Issued in TN

Practice address

1025 Executive Drive
Suite 100
Hixson, TN 37343

Phone

(423) 778-9030

Fax

(423) 778-9031

NPI assigned

May 17, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Osteopathic Manipulative MedicineAlso: Family Practice, Psychiatry

Education

Lake Erie College of Osteopathic Medicine, Erie, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chattanooga Hamilton County Hospital AuthorityGroup PAC ID 0547179731, 159 clinicians

Erlanger HealthGroup PAC ID 1153780226, 504 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Health Chattanooga Home health agency, Chattanooga, TN, CCN 447156
• Erlanger Medical Center Hospital, Chattanooga, TN, CCN 440104
• Memorial Healthcare System, Inc Hospital, Chattanooga, TN, CCN 440091

Merit-based Incentive Payment System (MIPS)

Final score

93.78 of 100Reported as apm

Quality

80.38

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Chattanooga Hamilton County Hospital Authority

  • Internal Medicine Physician
  • Chattanooga, TN
  • NPI 1154751931

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Erlanger Health

  • Internal Medicine Physician
  • Chattanooga, TN
  • NPI 1477256303

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Chattanooga Hamilton County Hospital Authority

  • Medicare Defined Swing Bed Hospital Unit
  • Pikeville, TN
  • NPI 1073622007
  NPD
• Erlanger Health

  • Durable Medical Equipment & Medical Supplies
  • Chattanooga, TN
  • NPI 1740073329
  NPD
• Erlanger Health

  • Internal Medicine Physician
  • Ringgold, GA
  • NPI 1871295709

  Family Medicine

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Comprehensive Home Healthcare Services LLC

  • Home Health Agency
  • Chattanooga, TN
  • NPI 1326096009
  Care Compare affiliation
• Erlanger Health

  • General Acute Care Hospital
  • Chattanooga, TN
  • NPI 1861194086
  Care Compare affiliation
• Memorial Health Care System Inc.

  • General Acute Care Hospital
  • Hixson, TN
  • NPI 1083778633
  Care Compare affiliation
• Memorial Health Care System Inc.

  • General Acute Care Hospital
  • Chattanooga, TN
  • NPI 1255428736
  Care Compare affiliation

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441843200000",
    "number": "1285841254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 E 3RD ST",
            "address_2": "ATTN: PROVIDER ENROLLMENT",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374032147",
            "telephone_number": "423-778-5630",
            "fax_number": "423-778-3146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 EXECUTIVE DRIVE",
            "address_2": "SUITE 100",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "37343",
            "telephone_number": "423-778-9030",
            "fax_number": "423-778-9031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "BRENT",
        "middle_name": "JEREMY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2015-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "2018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• C Rodney Susong MD PC
• Sophie Cai, MD
• Thomas Conrad Caldwell Jr., M.D.
• Caliber Chiropractic, PLLC
• Brett Aaron Caminez, D.C.
• Lindsay Beal Caraccio, DPH
• Matthew Jon Carbone, MPT
• Cardiovascular Imaging
• Gary S Carlson, DPT,MS,SCS
• Kristen Anne Carroll

• Family Medicine Physician in Hixson, TN
• Providers in Hixson, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2015; 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.

Verify at the official NPI Registry.