Lydia Elaine Boyd Campbell, MD, MPH

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

9801180 Issued in NC

Practice address

1980 South Main Street
Wake Forest, NC 27587

Phone

(919) 229-8010

Fax

(919) 229-8009

NPI assigned

Oct 16, 2012

Last updated

Oct 16, 2012By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Primedoc of Randolph County PA

  • Internal Medicine Physician
  • Asheboro, NC
  • NPI 1689630469
  NPD (past)

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

{
    "created_epoch": "1350345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350345600000",
    "number": "1467705483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 DUN LORING DR",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275879021",
            "telephone_number": "919-427-5097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1980 SOUTH MAIN STREET",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "27587",
            "telephone_number": "919-229-8010",
            "fax_number": "919-229-8009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD CAMPBELL",
        "first_name": "LYDIA",
        "middle_name": "ELAINE",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-16",
        "last_updated": "2012-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "9801180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Stephen Boulos, D.O.
• Joan Elaine Bourdon, P.T.
• Nicole Bertolino Bourne, OTR/L
• Bowman Family Services Inc
• Robley Kivette Bowman II, MA LPA
• Stephanie Boykin
• Heather Braddock Acevedo, M.D.
• Suzanne Marie Brady, LCSW
• Kiaya Alise Branch, LCSWA
• Barbara A Brandes, MD

• Internal Medicine Physician in Wake Forest, NC
• Providers in Wake Forest, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.