DR. ANDREW BRUCE CAMPBELL MD NPI 1225052285

NPI Information

NPI: 1225052285
Provider Name: DR. ANDREW BRUCE CAMPBELL, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
1610 NE 1ST ST APT 10
FORT LAUDERDALE, FL
ZIP 33301
Phone: (954) 760-4306
Get Directions

DR. Andrew Bruce Campbell, MD is a diagnostic radiology radiology in Fort Lauderdale, FL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Andrew Bruce Campbell, MD NPI is 1225052285. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1610 NE 1ST ST APT 10
FORT LAUDERDALE, FL
ZIP 33301-800
Phone: (954) 760-4306
Fax: (954) 760-4306

The NPI 1225052285 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/26/2006 and was last updated on 10/15/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085P0229X	Radiology	Pediatric Radiology	ME97339	FLORIDA	No
2	2085R0202X	Radiology	Diagnostic Radiology	153691-01	NEW YORK	No
3	2085R0202X	Radiology	Diagnostic Radiology	ME97339	FLORIDA	Yes
4	2085R0202X	Radiology	Diagnostic Radiology	MD044591L	PENNSYLVANIA	No
5	2085R0202X	Radiology	Diagnostic Radiology	25MA08178100	NEW JERSEY	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	4047842	MEDICAID	TENNESSEE
2	0018425910010	MEDICAID	PENNSYLVANIA
3	1225052285	MEDICAID	MICHIGAN
4	200251600A	MEDICAID	OKLAHOMA
5	2198547	MEDICAID	LOUISIANA
6	7100084150	MEDICAID	KENTUCKY
7	002112500	MEDICAID	FLORIDA
8	99073889	MEDICAID	NEW MEXICO
9	205764802	MEDICAID	TEXAS
10	307496	MEDICAID	OHIO
11	8516804	MEDICAID	NEW JERSEY
12	00476269	MEDICAID	MISSISSIPPI
13	1225052285	MEDICAID	SOUTH DAKOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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