Individual provider Active NPI

Errol Earl Campbell, M.D.

  • Internal Medicine Physician
  • Tamarac, FL
National Provider Identifier
1427036995
Registry record updated May 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME80593 Issued in FL
Practice address
7421 N University Dr
Suite 314
Tamarac, FL 33321-2977
Phone
(954) 724-3440
Fax
(954) 724-3494
NPI assigned
Jan 5, 2006
Last updated
May 30, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME80593 FL Primary

Addresses

Primary practice location

7421 N University Dr
Suite 314
Tamarac, FL 33321-2977

Mailing address

7421 N University Dr.
Suite 314
Tamarac, FL 33321
Phone (954) 724-3440

Other identifiers 2

IdentifierTypeStateIssuer
000758100MedicaidFL
P00712042OtherFLRAILROAD MEDICARE

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20040401000438 FL Practitioner - Internal Medicine 5597757302 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

7421 N University Dr
Suite 314
Tamarac, FL 33321-2952
Phone (954) 724-3440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
East Florida Premium Medical Care Internal Medicine CurrentSince Feb 9, 2012 Accepting new patients
East Florida Hospitalists LLC Past Accepting new patients
Tradewinds Park Inpatient Services, LLC Past Accepting new patients
East Florida Primary Care LLC Past Accepting new patients

Locations

7201 N University Dr
Tamarac, FL 33321
Phone (954) 721-2200

7421 N University Dr
Ste 314
Tamarac, FL 33321
Phone (954) 722-2300

Interoperability endpoints

  • Direct secure messaging: errol.campbell.1@24672.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/24672/brand/1/csg/1/fhir/r4

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369872000000",
    "number": "1427036995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7421 N UNIVERSITY DR.",
            "address_2": "SUITE 314",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "33321",
            "telephone_number": "954-724-3440",
            "fax_number": "954-724-3494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7421 N UNIVERSITY DR",
            "address_2": "SUITE 314",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212977",
            "telephone_number": "954-724-3440",
            "fax_number": "954-724-3494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "ERROL",
        "middle_name": "EARL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-05",
        "last_updated": "2013-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME80593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000758100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00712042",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

Verify at the official NPI Registry.