R Bret Campbell Do & Assoc Llc | |
1501 Hiland Ave Ste A Burley ID 83318-2688 | |
(208) 878-9432 | |
(208) 878-4576 |
Full Name | R Bret Campbell Do & Assoc Llc |
---|---|
Speciality | Family Medicine |
Location | 1501 Hiland Ave Ste A, Burley, Idaho |
Authorized Official Name and Position | R Bret Campbell (DOCTOR OF OSTEOPATHY) |
Authorized Official Contact | 2088789432 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
R Bret Campbell Do & Assoc Llc 1404 Pomerelle Ave Suite B Burley ID 83318-2688 Ph: (208) 878-9432 | R Bret Campbell Do & Assoc Llc 1501 Hiland Ave Ste A Burley ID 83318-2688 Ph: (208) 878-9432 |
NPI Number | 1952744641 |
---|---|
Provider Enumeration Date | 04/11/2013 |
Last Update Date | 03/29/2016 |
Medicare PECOS PAC ID | 2860799905 |
---|---|
Medicare Enrollment ID | O20160405000354 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952744641 | NPI | - | NPPES |
1124041116 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
Provider Name | Ronald Bret Campbell |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1124041116 PECOS PAC ID: 7416937131 Enrollment ID: I20040826000418 |
Provider Name | Cody W Matthews |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306517271 PECOS PAC ID: 3577956945 Enrollment ID: I20220207002046 |
Wayne H Blauer Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 Hiland Ave, Ste L3, Burley, ID 83318 Phone: 208-678-2283 Fax: 208-677-2483 | |
Albion Valley Health Clinic Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 West 5th Street, Burley, ID 83318 Phone: 208-312-9740 Fax: 208-678-0910 | |