Individual provider Active NPI

Bruce Edgar Campbell

  • Emergency Medicine Physician
  • Knoxville, TN
National Provider Identifier
1467438770
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
47531 Issued in TN
Practice address
5724 Western Ave
Knoxville, TN 37921-2224
Phone
(719) 640-7595
NPI assigned
Dec 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 47531 TN Primary

Addresses

Primary practice location

5724 Western Ave
Knoxville, TN 37921-2224

Mailing address

5724 Western Ave
Knoxville, TN 37921-2224
Phone (719) 640-7595

Other identifiers 1

IdentifierTypeStateIssuer
44382871MedicaidCO

Other names 1

  • Bruce Campbell Professional name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20140618001268 TN Practitioner - Emergency Medicine 1557347622 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
East Tennessee State University Quillen College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Coverage LLCGroup PAC ID 3072412592, 761 clinicians
Total Recovery Mind and Body PLLCGroup PAC ID 0840662425, 8 clinicians
Southeastern Emergency Physicians LLCGroup PAC ID 2466364997, 776 clinicians

Practice addresses (Care Compare)

1850 Old Knoxville Rd
Tazewell, TN 37879-3625
Phone (423) 626-4211

5724 Western Ave
Knoxville, TN 37921-2224
Phone (865) 281-5480

742 Middle Creek Rd
Sevierville, TN 37862-5019
Phone (865) 908-3608

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Empowered Health Wound and Foot Care LLC CurrentSince Jul 1, 2025 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Jul 1, 2017 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Jul 1, 2017 Accepting new patients
App of Tennessee Ed, PLLC Emergency Medicine CurrentSince Apr 1, 2014 Accepting new patients
Total Recovery Mind & Body PLLC CurrentSince Dec 1, 2022 Accepting new patients
Memorial Health System Past Accepting new patients
Uch-MHS Past Accepting new patients
Bamberg County Memorial Hospital Past Accepting new patients
Colorado Hyperbaric Physicians, LLC PastSince Aug 6, 2018 Accepting new patients

Locations

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

5724 Western Ave
Knoxville, TN 37921
Phone (865) 281-5480

1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244

907 Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 766-8818

742 Middle Creek Rd
Sevierville, TN 37862
Phone (865) 429-6100

1850 Old Knoxville Rd
Tazewell, TN 37879
Phone (423) 526-2137

Interoperability endpoints

  • Direct secure messaging: bcampbe4@yourcarecommunity.org

Organizations & group practices 9

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1467438770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5724 WESTERN AVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379212224",
            "telephone_number": "719-640-7595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5724 WESTERN AVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379212224",
            "telephone_number": "719-640-7595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "BRUCE",
        "middle_name": "EDGAR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-19",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "47531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44382871",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRUCE",
            "last_name": "CAMPBELL",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.