Individual provider Active NPI

Daniel Campbell, DO

  • Student in an Organized Health Care Education/Training Program
  • Nampa, ID
National Provider Identifier
1346801941
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
0102209401 Issued in VA
Practice address
2939 E Idavada CT
Nampa, ID 83686-5899
Phone
(907) 306-0777
NPI assigned
Jun 25, 2019
Sex
Male
Sole proprietor
Yes

Organizations & group practices 2

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.

Medicare Care Compare profile

Specialty
General Practice
Education
Liberty Univ College of Osteopathic Medicine, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4055 Valley View LN
Suite 700
Dallas, TX 75244-4910

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in NY, ID
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20250515002002 NY Practitioner - General Practice 6901324706 Reassigns benefits to 1 organization
I20260529002009 ID Practitioner - General Practice 6901324706 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
O-1422IDMDGeneral Practice Physician
0102209401VAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Brookview Medical Associates, PLLC General Practice Current
since Apr 1, 2025
Accepting new patients

Locations

80 Orville Dr
Ste 100
Bohemia, NY 11716
Phone (516) 308-6610

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: daniel.campbell.1@8042.direct.athenahealth.com

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X O-1422 ID
Student in an Organized Health Care Education/Training Program 390200000X 0102209401 VA Primary

Addresses

NPPES NPI Registry

Primary practice location

2939 E Idavada CT
Nampa, ID 83686-5899

Mailing address

16834 S Vista Ave
Kuna, ID 83634-2761

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 27, 2026.

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1346801941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16834 S VISTA AVE",
            "city": "KUNA",
            "state": "ID",
            "postal_code": "836342761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2939 E IDAVADA CT",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836865899",
            "telephone_number": "907-306-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-25",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "ID",
            "license": "O-1422",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "VA",
            "license": "0102209401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nampa, ID

Sources for this page

Verify at the official NPI Registry.