NPIMap

Individual provider Active NPI

Campbell Lane Bishop

  • Emergency Medicine Physician
  • Shelbyville, KY
National Provider Identifier
1962065334
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
58856 Issued in KY
Practice address
727 Hospital Dr
Shelbyville, KY 40065-1660
Phone
(502) 647-4000
NPI assigned
Apr 20, 2019
Last updated
Aug 19, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 58856 KY Primary

Addresses

Primary practice location

727 Hospital Dr
Shelbyville, KY 40065-1660

Mailing address

1 Audubon Plaza Dr
Louisville, KY 40217-1318
Phone (502) 636-7225

Other practice location 1

1850 Bluegrass Ave
Louisville, KY 40215-1161
Phone (502) 361-6000

Other practice location 2

1 Audubon Plaza Dr
Louisville, KY 40217-1318
Phone (502) 636-7225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220927002305 KY Practitioner - General PracticePractitioner - Emergency Medicine 8527441922 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Emergency Medicine
Education
University of Louisville School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Emergency Physicians LLCGroup PAC ID 2466364997, 776 clinicians
Nulease Medical Solutions LLCGroup PAC ID 7618211434, 5 clinicians

Practice addresses (Care Compare)

1025 New Moody LN
La Grange, KY 40031-9154
Phone (502) 222-5388

5722 Outer Loop
Louisville, KY 40219-4156
Phone (502) 492-7455

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.11 of 100Reported as group
Quality
63.34
Promoting interoperability
100
Improvement activities
40
Cost
73.68

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
58856KYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nulease Medical Solutions LLC Current Accepting new patients
Nulease Medical Solutions LLC Emergency Medicine CurrentSince Oct 17, 2024 Accepting new patients
Community Medical Associates, Inc. Current Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Jul 1, 2024 Accepting new patients
Baptist Health Medical Group, Inc. Emergency Medicine CurrentSince Aug 1, 2025 Accepting new patients
Nulease Medical Solutions LLC General Practice CurrentSince Oct 17, 2024 Accepting new patients
Community Medical Associates, Inc. CurrentSince Sep 26, 2023 Accepting new patients
Community Medical Associates, Inc. Emergency Medicine CurrentSince Sep 26, 2023 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Aug 1, 2025 Accepting new patients

Locations

1327 E Broadway St
Ste B
Campbellsville, KY 42718
Phone (270) 283-4240

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

1025 New Moody Ln
Lagrange, KY 40031
Phone (502) 222-3335

1 Audubon Plaza Dr
Louisville, KY 40217
Phone (502) 634-6767

11701 Bluegrass Pkwy
#100
Louisville, KY 40299
Phone (502) 928-4100

1850 Bluegrass Ave
Louisville, KY 40215
Phone (502) 361-6000

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

5722 Outer Loop
Louisville, KY 40219
Phone (502) 492-7455

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

727 Hospital Dr
Shelbyville, KY 40065
Phone (502) 633-2345

Organizations & group practices 9

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.

Hospital & facility affiliations 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1555718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1962065334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 AUDUBON PLAZA DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402171318",
            "telephone_number": "502-636-7225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 HOSPITAL DR",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400651660",
            "telephone_number": "502-647-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1850 Bluegrass Ave",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402151161",
            "country_code": "US",
            "telephone_number": "502-361-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Audubon Plaza Dr",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402171318",
            "country_code": "US",
            "telephone_number": "502-636-7225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "CAMPBELL",
        "middle_name": "LANE",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-20",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "58856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelbyville, KY

Sources for this page

Verify at the official NPI Registry.