Individual provider Active NPI

Bryan M Camp, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Lafayette, IN
National Provider Identifier
1912438235
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
07001349A Issued in IN
Practice address
2020 Union St Ste 100
Lafayette, IN 47904-2694
Phone
(765) 449-4758
Fax
(765) 449-0659
NPI assigned
Mar 27, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 07001349A IN Primary

Addresses

Primary practice location

2020 Union St Ste 100
Lafayette, IN 47904-2694

Mailing address

2020 Union St Ste 100
Lafayette, IN 47904-2694
Phone (765) 449-4758

Other identifiers 2

IdentifierTypeStateIssuer
07001349AOtherINDPM LICENSE
07001349BOtherINCSR LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200807000580 IN Practitioner - Podiatry 6103195870 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lafayette Podiatry Associates PCGroup PAC ID 4486786753, 4 clinicians

Practice addresses (Care Compare)

2020 Union St
Suite 100
Lafayette, IN 47904-2694
Phone (765) 449-4758

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue19
Removal of skin lesions26
Removal of nail tissue211
Removal or shaving of skin growth121

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
07001349AINMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lafayette Podiatry Associates, P.C. Podiatrist CurrentSince Aug 7, 2023 Accepting new patients
Upperline Healthcare, PC Foot & Ankle Surgery CurrentSince Aug 1, 2021 Accepting new patients
Upperline Healthcare, PC Podiatrist CurrentSince Aug 1, 2021 Accepting new patients

Locations

11725 Illinois St
Ste 545
Carmel, IN 46032
Phone (317) 580-1586

1159 W Jefferson St
Ste 204
Franklin, IN 46131

7412 Rockville Rd
Ste A
Indianapolis, IN 46214
Phone (317) 271-0041

2020 Union St
Ste 100
Lafayette, IN 47904
Phone (765) 447-7644

Interoperability endpoints

  • Direct secure messaging: bryancamp@lpap-in.direct.office.nextgen.com
  • Direct secure messaging: bcamp253424@direct.franciscanalliance.org
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: bryan.camp@8542.chartlogic.direct-ci.com

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1912438235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 UNION ST STE 100",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479042694",
            "telephone_number": "765-449-4758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 UNION ST STE 100",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479042694",
            "telephone_number": "765-449-4758",
            "fax_number": "765-449-0659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMP",
        "first_name": "BRYAN",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "D.P.M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-27",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IN",
            "license": "07001349A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPM LICENSE",
            "identifier": "07001349A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSR LICENSE",
            "identifier": "07001349B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, IN

Sources for this page

Verify at the official NPI Registry.