Billy Ray Campbell III, CPED, CFO

Primary specialty

Orthotic FitterTaxonomy code 225000000X

License

CFO04010 Issued in KY

Practice address

315 E Broadway Ste 1400
Louisville, KY 40202-3700

Phone

(502) 629-8640

Fax

(502) 629-5527

NPI assigned

Mar 9, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Center for Orthotic and Prosthetic Care of Kentucky LLC

  • Prosthetic/Orthotic Supplier
  • Paducah, KY
  • NPI 1750790689
  NPD (past)
• Center for Orthotic and Prosthetic Care of Kentucky LLC

  • Prosthetic/Orthotic Supplier
  • Louisville, KY
  • NPI 1972609832
  NPD (past)

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

{
    "created_epoch": "1489017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489017600000",
    "number": "1750822771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 IMPERATOR LN UNIT 102",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402457707",
            "telephone_number": "502-593-6119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 E BROADWAY STE 1400",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402023700",
            "telephone_number": "502-629-8640",
            "fax_number": "502-629-5527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "BILLY",
        "middle_name": "RAY",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "CPED, CFO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-09",
        "last_updated": "2017-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224L00000X",
            "taxonomy_group": "",
            "desc": "Pedorthist",
            "state": "KY",
            "license": "CPED3595",
            "primary": false
        },
        {
            "code": "225000000X",
            "taxonomy_group": "",
            "desc": "Orthotic Fitter",
            "state": "KY",
            "license": "CFO04010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latonda Camp
• Tamera Ashley Camp
• Treva Camp
• Audra V Campbell, ARNP
• Bernice Campbell, DMD
• Brandon Campbell
• Brennen Campbell, LPCC
• Brent Campbell
• Bryah Campbell, LCSW
• Carol Campbell, P.T.

• Orthotic Fitter in Louisville, KY
• Providers in Louisville, KY by specialty
• Orthotic Fitter in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; 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.