Active NPI
Duncan R Campbell, MD
- Pediatrics Physician
- Hopkinsville, KY
National Provider Identifier
1497719389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 18712
- Practice address
- 4235 Fort Campbell Blvd
Hopkinsville, KY 42240-9339 - Phone
- (270) 885-8445
- Fax
- (270) 886-9106
- NPI assigned
- Apr 17, 2006
- Last updated
- Oct 26, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 18712 | KY | Primary |
Addresses
Primary practice location
4235 Fort Campbell Blvd
Hopkinsville, KY 42240-9339
Mailing address
4235 Fort Campbell Blvd Ste 3a
Hopkinsville, KY 42240-9339
Phone (270) 885-8445
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000053834 | Other | KY | ANTHEM |
| 64187123 | Medicaid | KY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | duncan.campbell@vanderbiltpediatricassociates.e-mdsdirect.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18712 | KY | MD | Pediatrics Physician |
Interoperability endpoints
- dcampbell224800@direct.vumc.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603670400000",
"number": "1497719389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4235 FORT CAMPBELL BLVD STE 3A",
"city": "HOPKINSVILLE",
"state": "KY",
"postal_code": "422409339",
"telephone_number": "270-885-8445",
"fax_number": "270-886-9106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4235 FORT CAMPBELL BLVD",
"city": "HOPKINSVILLE",
"state": "KY",
"postal_code": "422409339",
"telephone_number": "270-885-8445",
"fax_number": "270-886-9106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "DUNCAN",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-17",
"last_updated": "2020-10-26",
"certification_date": "2020-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "KY",
"license": "18712",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000053834",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64187123",
"state": "KY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "duncan.campbell@vanderbiltpediatricassociates.e-mdsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4235 Fort Campbell Blvd",
"city": "Hopkinsville",
"state": "KY",
"country_code": "US",
"postal_code": "422409339",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hopkinsville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.