Kevin Scott Campbell Sr.

Primary specialty

ProsthetistTaxonomy code 224P00000X

Practice address

722 Louisiana Ave
Bogalusa, LA 70427

Phone

(985) 730-4357

Fax

(985) 730-5267

NPI assigned

Feb 16, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Body Parts LLC

  • Prosthetic/Orthotic Supplier
  • Bogalusa, LA
  • NPI 1811172463
  NPD Authorized official

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200441600000",
    "number": "1992849780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 LOUISIANA AVE",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "70427",
            "telephone_number": "985-730-4357",
            "fax_number": "985-730-5267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 LOUISIANA AVE",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "70427",
            "telephone_number": "985-730-4357",
            "fax_number": "985-730-5267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "KEVIN",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-16",
        "last_updated": "2008-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "LA",
            "license": null,
            "primary": true
        },
        {
            "code": "225000000X",
            "taxonomy_group": "",
            "desc": "Orthotic Fitter",
            "state": "LA",
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "LA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00440994",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1561312",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "7214531530",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "7214531530",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah B. Burdeaux, S.L.P.
• John Burkin, LPC, LMHC, LPCC
• C & F Pharmacy, Inc.
• Kimberly Dawn Cagle, FNP
• Cherie Campbell
• Can, Inc.
• Can, Inc.
• Mathilda Carew, MD
• Monique Carley
• Rogelio A Casama, MD

• Prosthetist in Bogalusa, LA
• Providers in Bogalusa, LA by specialty
• Prosthetist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.