Robert Lee Campbell, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G4888 Issued in TX

Practice address

546 W Seminary Dr Ste a
Fort Worth, TX 76115-1361

Phone

(817) 924-7978

NPI assigned

Apr 12, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family PracticeAlso: Emergency Medicine

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Iberia Medical Clinic, P.a.Group PAC ID 7911981600, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

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.

• Iberia Medical Clinic, P.a.

  • Family Medicine Physician
  • Fort Worth, TX
  • NPI 1043331812

  Family Medicine, TX

  Medicare reassignment Care Compare group NPD
• Concord Medical Group of Texas PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1750790762

  Emergency Medicine, TX

  Medicare reassignment NPD
• Concord Medical Group PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1083630610

  Emergency Medicine, TX

  Medicare reassignment NPD
• Kingsley Medical Clinic, P.a.

  • Family Medicine Physician
  • Garland, TX
  • NPI 1497876288

  Family Medicine, TX

  Medicare reassignment NPD
• Southwest Medical Associates, Inc.

  • Emergency Medicine Physician
  • Electra, TX
  • NPI 1831299122

  Emergency Medicine, TX

  Medicare reassignment NPD
• Red Bird Urgent Care Clinic, P.a.

  • Pain Medicine Physician
  • Dallas, TX
  • NPI 1922494293
  NPD (past)

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1992929947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6539",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761150539",
            "telephone_number": "817-924-7978",
            "fax_number": "817-924-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "546 W SEMINARY DR STE A",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761151361",
            "telephone_number": "817-924-7978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "ROBERT",
        "middle_name": "LEE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G4888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1391500-23",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenney Campbell
• Leanna Campbell, PT
• Lisa Campbell
• Mikayla Lee Campbell, CRNA
• Rebecca Eve Campbell, M.S. CCC-SLP
• Rowan Stewart Campbell, MD
• Shannon Kohlenberg Campbell, LCSW
• Stefani Mary Campbell
• Steven Sean Campbell, PA
• Titia Campbell, LMT

• All providers in Fort Worth, TX
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; 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.

Verify at the official NPI Registry.