Individual provider Active NPI

Doyle Ray Campbell, MD

  • Internal Medicine Physician
  • Plantation, FL
National Provider Identifier
1548351463
Registry record updated Nov 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME19220 Issued in FL
Practice address
201 NW 70TH Ave
Suite D
Plantation, FL 33317-2369
Phone
(954) 693-9133
Fax
(954) 641-1451
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME19220 FL Primary

Addresses

Primary practice location

201 NW 70TH Ave
Suite D
Plantation, FL 33317-2369

Mailing address

201 NW 70TH Ave
Suite D
Plantation, FL 33317-2369
Phone (954) 693-9133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040823001225 FL Practitioner - Internal Medicine 3476527797

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME19220FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Careservices of Central Florida LLC Past Accepting new patients
Mobile Medical Industries Inc Past Accepting new patients
Oakridge Medical Group Past Accepting new patients
Horizon Nuclear Cardiology Inc PastSince Nov 16, 2021 Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195516800000",
    "number": "1548351463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 NW 70TH AVE",
            "address_2": "SUITE D",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172369",
            "telephone_number": "954-693-9133",
            "fax_number": "954-641-1451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 NW 70TH AVE",
            "address_2": "SUITE D",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172369",
            "telephone_number": "954-693-9133",
            "fax_number": "954-641-1451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "DOYLE",
        "middle_name": "RAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME19220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.