Active NPI
Bryan M Camp, D.P.M
- Foot & Ankle Surgery Podiatrist
- Lafayette, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 07001349A
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07001349A | Other | IN | DPM LICENSE |
| 07001349B | Other | IN | CSR 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
Enrollment records 1
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
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
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 19 |
| Removal of skin lesions | 26 |
| Removal of nail tissue | 211 |
| Removal or shaving of skin growth | 121 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07001349A | IN | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lafayette Podiatry Associates, P.C. | Podiatrist | Current | Accepting new patients |
| Upperline Healthcare, PC | Foot & Ankle Surgery | Current | Accepting new patients |
| Upperline Healthcare, PC | Podiatrist | Current | 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
- bryancamp@lpap-in.direct.office.nextgen.com
- bcamp253424@direct.franciscanalliance.org
- https://fhir.meditouchehr.com/api/fhir/r4/
- 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.
-
- Foot & Ankle Surgery Podiatrist
- Lafayette, IN
- NPI 1427193796
-
- Foot & Ankle Surgery Podiatrist
- Ocoee, FL
- NPI 1326906843
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lafayette, IN
- NPI 1356435341
-
- General Acute Care Hospital
- Lafayette, IN
- NPI 1326296211
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.