Active NPI
Gary L Campbell DO PA
- Physical Medicine & Rehabilitation Physician
- Fort Worth, TX
National Provider Identifier
1699175059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- GARY L CAMPBELL DO PA
- Practice address
- 6116 Oakbend TRL
Ste 112
Fort Worth, TX 76132-3925 - Phone
- (817) 346-7800
- Fax
- (817) 346-7804
- NPI assigned
- Sep 3, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gary Lee Campbell, DO
- Title
- Physician/Owner
- Phone
- (210) 744-6729
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | Primary |
Addresses
Primary practice location
6116 Oakbend TRL
Ste 112
Fort Worth, TX 76132-3925
Mailing address
6116 Oakbend TRL
Ste 112
Fort Worth, TX 76132-3925
Phone (817) 346-7800
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409702400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1409702400000",
"number": "1699175059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6116 OAKBEND TRL",
"address_2": "STE 112",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761323925",
"telephone_number": "817-346-7800",
"fax_number": "817-346-7804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6116 OAKBEND TRL",
"address_2": "STE 112",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761323925",
"telephone_number": "817-346-7800",
"fax_number": "817-346-7804"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GARY L CAMPBELL DO PA",
"organizational_subpart": "NO",
"enumeration_date": "2014-09-03",
"last_updated": "2014-09-03",
"status": "A",
"authorized_official_last_name": "CAMPBELL",
"authorized_official_first_name": "GARY",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "PHYSICIAN/OWNER",
"authorized_official_telephone_number": "210-744-6729",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.