David C Campbell, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

R1H15 Issued in MO

Practice address

9417 S Broadway
Saint Louis, MO 63125-2009

Phone

(314) 833-4030

Fax

(314) 833-4031

NPI assigned

Dec 19, 2005

Last updated

Oct 11, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 39)

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

• Institute for Research and Education in Family Medicine

  dba IFM Community Medicine

  • Family Medicine Physician
  • Saint Louis, MO
  • NPI 1972567923
  Medicare reassignment NPD Authorized official
• County of St Louis Division of Fiscal Management

  dba John C. Murphy Health Center

  • Federally Qualified Health Center (FQHC)
  • Berkeley, MO
  • NPI 1184519506
  NPD (past)

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1801872254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 DELMAR BLVD STE B560",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631123084",
            "telephone_number": "314-833-4030",
            "fax_number": "314-833-4031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9417 S BROADWAY",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631252009",
            "telephone_number": "314-833-4030",
            "fax_number": "314-833-4031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "DAVID",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-19",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "R1H15",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202499950",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allysa Campbell, AGACNP-BC
• Benjamin Read Campbell, MD
• Beverly A Campbell, NP
• Cinnamon Dale Campbell, FNP
• Courtney Michelle Campbell, MD
• Dewitt Campbell III
• Donna E Campbell, PA
• Elizabeth Campbell, PMHNP-BC
• Hannah Carey Campbell, LMFT, LPCC
• Heather Anne Campbell, M.D.

• Family Medicine Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; 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.

Verify at the official NPI Registry.