Camp Berf Acquisition Partners LLC

Primary specialty

Emergency Care Clinic/CenterTaxonomy code 261QE0002X

Legal business name

CAMP BERF ACQUISITION PARTNERS LLC

Doing business as

Complete Care Camp Bowie

Practice address

6006 Camp Bowie Blvd
Fort Worth, TX 76116-5620

Phone

(817) 439-4912

NPI assigned

May 15, 2025

Last updated

May 15, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Julie Radley

Title

Coo

Phone

(713) 591-2256

Specialties & licenses 1

Addresses

Other names 1

• Complete Care Camp Bowie Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1538950837. Details of each certification follow.

• CCN 670244 Hospital · Terminated · Name & address match · Details

Hospital certification: CCN 670244

Legal name

COMPLETE CARE CAMP BOWIE

Certification status

Terminated Voluntary: merger or closure, May 11, 2023

Provider type (POS)

Hospital – Short-term

Participating since

May 21, 2020

Last certification

May 21, 2020

Beds

1

Ownership / control type

Private (not for profit)

Facility address

6006 Camp Bowie Blvd
Fort Worth, TX 76116

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1747267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747267200000",
    "number": "1538950837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 92385",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760920104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6006 CAMP BOWIE BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761165620",
            "telephone_number": "817-439-4912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMP BERF ACQUISITION PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-15",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A",
        "authorized_official_last_name": "RADLEY",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "713-591-2256"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Complete Care Camp Bowie",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Camille Residences
• Sydney Camilleri
• Kathleen Elise Cammack, M.D.
• Mary Camman, COTA
• Camonbro Investment LLC
• Camp Bowie ER Physicians PLLC
• Camp Bowie Smiles PLLC
• Clair Camp
• Kathlene Camp, PT
• Lakeitha Camp

• Emergency Care Clinic/Center in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Emergency Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.