Campbell Sports Rehab Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH6314 Issued in FL

Legal business name

CAMPBELL SPORTS REHAB INC

Practice address

8409 N Military TRL
Suite 113
West Palm Beach, FL 33410-6316

Phone

(561) 630-9495

Fax

(561) 253-0845

NPI assigned

May 17, 2006

Organization subpart

No

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

Authorized official

Name

Brian A Campbell, DCNPI 1073519096

Title

President

Phone

(561) 630-9495

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brian A Campbell, DC

  • Chiropractor
  • West Palm Beach, FL
  • NPI 1073519096
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1679525588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8409 N MILITARY TRL",
            "address_2": "SUITE 113",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334106316",
            "telephone_number": "561-630-9495",
            "fax_number": "561-253-0845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8409 N MILITARY TRL",
            "address_2": "SUITE 113",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334106316",
            "telephone_number": "561-630-9495",
            "fax_number": "561-253-0845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMPBELL SPORTS REHAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-630-9495",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH6314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Maria Camilo Bolmey, RBT-24-376952
• Leeza Judith Camilo
• Jennifer Camilus
• Omar Caminero, PTA
• Campbell Health Solutions,Inc
• Rhoenna E. Campbell-Robinson, RN
• Betilda Campbell
• Brian A Campbell, DC
• Carol Campbell
• Christina Teresa Campbell

• Chiropractor in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.