Organization Active NPI

Michael G. Campbell, MD,PLLC

  • Obstetrics & Gynecology Physician
  • Fredericksburg, TX
National Provider Identifier
1427338193
Registry record updated Apr 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
L0767 Issued in TX
Legal business name
MICHAEL G. CAMPBELL, MD,PLLC
Practice address
820 Reuben St
Suite B
Fredericksburg, TX 78624-4533
Phone
(830) 997-3038
Fax
(830) 997-3530
NPI assigned
Aug 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2012

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

Authorized official

Name
Dr. Michael Gregg Campbell, MDNPI 1639135775
Title
Owner
Phone
(830) 997-3038

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X L0767 TX Primary

Addresses

Primary practice location

820 Reuben St
Suite B
Fredericksburg, TX 78624-4533

Mailing address

820 Reuben St
Suite B
Fredericksburg, TX 78624-4533
Phone (830) 997-3038

Other identifiers 1

IdentifierTypeStateIssuer
029665901MedicaidTX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1314230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335398400000",
    "number": "1427338193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 REUBEN ST",
            "address_2": "SUITE B",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786244533",
            "telephone_number": "830-997-3038",
            "fax_number": "830-997-3530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 REUBEN ST",
            "address_2": "SUITE B",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786244533",
            "telephone_number": "830-997-3038",
            "fax_number": "830-997-3530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL G. CAMPBELL, MD,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-25",
        "last_updated": "2012-04-26",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "GREGG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "830-997-3038",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "L0767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029665901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.