Organization Active NPI

Gary L Campbell DO PA

  • Physical Medicine & Rehabilitation Physician
  • Fort Worth, TX
National Provider Identifier
1699175059
Registry record updated Sep 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
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

Updated by the provider on Sep 3, 2014

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)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.