Individual provider Active NPI

Dale Keith Campbell, M.D.

  • Family Medicine Physician
  • Corsicana, TX
National Provider Identifier
1851384648
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
F3808 Issued in TX
Practice address
401 Hospital Dr Ste 140
Corsicana, TX 75110-2415
Phone
(903) 201-6405
Fax
(903) 641-7502
NPI assigned
Aug 26, 2005
Last updated
Dec 28, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X F3808 TX Primary

Addresses

Primary practice location

401 Hospital Dr Ste 140
Corsicana, TX 75110-2415

Mailing address

401 Hospital Dr Ste 140
Corsicana, TX 75110-2415
Phone (903) 201-6405

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20060811000180 TX Practitioner - Family Practice 6204839285

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Corsicana-Navarro County Public Health District CurrentSince Sep 14, 2025 Accepting new patients
Patient Place P.a. Family Medicine CurrentSince Dec 28, 2022 Accepting new patients
Regional Employee Assistance Program Inc Family Medicine Past Accepting new patients
Regional Employee Assistance Program Inc Family Medicine Past Accepting new patients

Locations

401 Hospital Dr
Ste 140
Corsicana, TX 75110
Phone (903) 201-6405

618 N Main St
Corsicana, TX 75110
Phone (903) 874-6711

Interoperability endpoints

  • Direct secure messaging: dale.campbell.1@29197.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1851384648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 HOSPITAL DR STE 140",
            "city": "CORSICANA",
            "state": "TX",
            "postal_code": "751102415",
            "telephone_number": "903-201-6405",
            "fax_number": "903-641-7502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 HOSPITAL DR STE 140",
            "city": "CORSICANA",
            "state": "TX",
            "postal_code": "751102415",
            "telephone_number": "903-201-6405",
            "fax_number": "903-641-7502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "DALE",
        "middle_name": "KEITH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-26",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "F3808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corsicana, TX

Sources for this page

Verify at the official NPI Registry.