Individual provider Active NPI

William Rogers Campbell, M.D.

  • Internal Medicine Physician
  • Sunrise, FL
National Provider Identifier
1770567638
Registry record updated Sep 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME57564 Issued in FL
Practice address
1551 Sawgrass Corporate Pkwy
Suite 110
Sunrise, FL 33323-2828
Phone
(954) 835-0750
Fax
(954) 835-0760
NPI assigned
Dec 5, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2020

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 ME57564 FL Primary

Addresses

Primary practice location

1551 Sawgrass Corporate Pkwy
Suite 110
Sunrise, FL 33323-2828

Mailing address

1551 Sawgrass Corporate Pkwy
Suite 110
Sunrise, FL 33323-2828
Phone (954) 835-0750

Other identifiers 1

IdentifierTypeStateIssuer
063901000MedicaidFL

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
I20041116001027 FL Practitioner - Internal Medicine 0547224834

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Florida Acute Care, LLC Internal Medicine Past Accepting new patients
Eastside Hospitalists Inc Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1770567638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 SAWGRASS CORPORATE PKWY",
            "address_2": "SUITE 110",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232828",
            "telephone_number": "954-835-0750",
            "fax_number": "954-835-0760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 SAWGRASS CORPORATE PKWY",
            "address_2": "SUITE 110",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232828",
            "telephone_number": "954-835-0750",
            "fax_number": "954-835-0760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "WILLIAM",
        "middle_name": "ROGERS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-05",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME57564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "063901000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

Verify at the official NPI Registry.