Bruce Donald Campbell Jr. (NPI# 1700922457, PAC ID# 1951577311) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1700922457 |
PAC ID by PECOS | 1951577311 |
Professional Enrollment ID | I20120106000006 |
Full Name | Bruce Donald Campbell Jr. |
Organization Legal Name | ANCHOR HEALTHCARE PLC |
Address |
4303 Free Union Rd Free Union VA 22940-2114 |
Phone Number | 4349781691 |
Gender | M |
Medical School | UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE |
Graduation Year | 1980 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 9032180054 |
Number of Group Practice Members | 25 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
490077 | SENTARA MARTHA JEFFERSON HOSPITAL |
Address | Phone | Organization |
---|---|---|
4303 Free Union Rd, Free Union, VA 22940-2114 | 4349781691 | ANCHOR HEALTHCARE PLC |
Organization Legal Name | ANCHOR HEALTHCARE PLC |
Physicians | 20 |
Name | Specialty | Organization | Address |
---|---|---|---|
Carolyn Dalldorf | Internal Medicine | Anchor Healthcare Plc | 1490 Pantops Mountain Pl, Suite 200, Charlottesville, VA 22911-4601 |
Jeanne M Densmore | Internal Medicine | Anchor Healthcare Plc | 1562 Insurance Ln, Charlottesville, VA 22911-7229 |
Amy A Cooley | Family Medicine | Anchor Healthcare Plc | 13198 James Madison Hwy, Orange, VA 22960 |
John M Carpenter | Family Medicine | Anchor Healthcare Plc | 889 B Rio E Court, Rio Family Medicine, Charlottesville, VA 22901-8004 |
Deborah M Henderson | Internal Medicine | Anchor Healthcare Plc | 908 E Jefferson St, Suite G1, Charlottesville, VA 22902-5375 |
Jane R Shaw | Family Medicine | Anchor Healthcare Plc | 416 Albemarle Sq, Charlottesville, VA 22901-7400 |
Matthew R Giese | Family Medicine | Anchor Healthcare Plc | 13198 James Madison Hwy, Orange, VA 22960 |
Alicia C Dagli | Family Medicine | Anchor Healthcare Plc | 1490 Pantops Mountain Pl, Suite 200, Charlottesville, VA 22911-4601 |
Warren C Quillian | Family Medicine | Anchor Healthcare Plc | 1490 Pantops Mountain Pl, Suite 200, Charlottesville, VA 22911-4601 |
Hakan A Dagli | Family Medicine | Anchor Healthcare Plc | 1490 Pantops Mountain Pl, Suite 200, Charlottesville, VA 22911-4601 |
Street Address |
4303 FREE UNION RD |
City | FREE UNION |
State | VA |
Zip | 22940-2114 |
City | FREE UNION |
Zip Code | 22940 |
Specialty | FAMILY MEDICINE |
City + Specialty | FREE UNION + FAMILY MEDICINE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.