Campbell Lane Bishop
Individual provider Active NPI Emergency Medicine Physician · Shelbyville, KY
NPI 1962065334 · NPPES record last updated Aug 19, 2025
Key facts
- NPI
- 1962065334
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 58856 (KY)
- Practice address
- 727 Hospital Dr
Shelbyville, KY 40065-1660 - Phone
- (502) 647-4000
- NPI assigned
- Apr 20, 2019
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 9
Hospital & facility affiliations 23
Medicare Care Compare profile
- Specialty
- General Practice
- Education
- University of Louisville School of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southeastern Emergency Physicians LLC
Nulease Medical Solutions LLC
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
- UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital
- Uofl Health - Shelbyville Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.11 of 100
- Quality
- 63.34
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.68
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220927002305 | KY | Practitioner - General Practice |
8527441922 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58856 | KY | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nulease Medical Solutions LLC | General Practice | Current |
Accepting new patients |
| Nulease Medical Solutions LLC | Current | Accepting new patients | |
| Community Medical Associates, Inc. | Emergency Medicine | Current |
Accepting new patients |
| Community Medical Associates, Inc. | Current | Accepting new patients | |
| Nulease Medical Solutions LLC | Emergency Medicine | Current |
Accepting new patients |
| Baptist Health Medical Group, Inc. | Emergency Medicine | Current |
Accepting new patients |
| Southeastern Emergency Physicians LLC | Emergency Medicine | Current |
Accepting new patients |
| Community Medical Associates, Inc. | Current |
Accepting new patients | |
| Baptist Health Medical Group Inc | Current |
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
825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165
3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313
1850 Bluegrass Ave
Louisville, KY 40215
Phone (502) 361-6617
5722 Outer Loop
Louisville, KY 40219
Phone (502) 492-7455
1 Audubon Plaza Dr
Louisville, KY 40217
Phone (502) 634-6767
11701 Bluegrass Pkwy
#100
Louisville, KY 40299
Phone (502) 928-4100
727 Hospital Dr
Shelbyville, KY 40065
Phone (502) 633-2345
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 58856 | KY | Yes |
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
Other providers in Shelbyville, KY
- Donna Lynn Betz
- Lindsey Nicole Bickel
- Ashley Biggins Goodan
- Bio-Medical Applications of Kentucky, Inc.
- Abigail Bishop
- Rachel Martha Blades
- Hannah Elizabeth Blaine
- Emily Ann Blake
- Robin Blankenship
- Michelle Blinder
All providers in Shelbyville, KY · Emergency Medicine Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.