Active NPI
William Rogers Campbell, M.D.
- Internal Medicine Physician
- Sunrise, FL
National Provider Identifier
1770567638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME57564
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 063901000 | Medicaid | FL |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041116001027 | FL | Practitioner - Internal Medicine | 0547224834 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New 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.
-
- Hospitalist Physician
- Hollywood, FL
- NPI 1285676957
-
- Internal Medicine Physician
- Sunrise, FL
- NPI 1942288337
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.