CAMPBELL PODIATRY PC
NPI 1467837773
Clinic/Center - Podiatric in Brooklyn, NY

Active since July 28, 2015
4626 NEW UTRECHT AVENUE, BROOKLYN, NY 11219(718) 853-7469(718) 972-7679 Get Directions Write a Review

NPPES record last updated: February 15, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Campbell Podiatry Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAMPBELL PODIATRY PC (NPI 1467837773) is a healthcare organization registered as a podiatric in Brooklyn, New York and active in the NPI registry since July 2015. The organization lists Douglas E Campbell, Dpm, as its authorized official.

NPPES Registry Identity

NPI1467837773
Entity TypeOrganization
Primary Taxonomy261QP1100X
Legal Business NameCAMPBELL PODIATRY PC
Location Address4626 NEW UTRECHT AVENUEBrooklyn, NY 11219-2554
Mailing Address4626 New Utrecht AvenueBrooklyn, NY 11219-2554 · (718) 853-7469
Fax(718) 972-7679
Organization SubpartNo
Authorized OfficialDouglas E CampbellDpm · (718) 853-7469
Enumeration DateJuly 28, 2015
Last NPPES UpdateFebruary 15, 2024
NPPES CertifiedFebruary 15, 2024
✔ NPI 1467837773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · PodiatricAmbulatory Health Care Facilities
Taxonomy Code261QP1100X
4626 NEW UTRECHT AVENUE, Brooklyn, NY 11219

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Campbell Podiatry Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Campbell Podiatry PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Podiatry
NPI 1366442360
4626 NEW UTRECHT AVENUE
Brooklyn, NY 11219
(718) 853-7469
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Campbell Podiatry PC's NPI number?

The NPI number for Campbell Podiatry PC is 1467837773. It was assigned to this organization in the NPPES registry on July 28, 2015.

Where is Campbell Podiatry PC located?

Campbell Podiatry PC is located at 4626 New Utrecht Avenue, Brooklyn, NY 11219. The listed phone number is (718) 853-7469.

What is Campbell Podiatry PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Podiatric, with taxonomy code 261QP1100X.

Is Campbell Podiatry PC enrolled in Medicare?

Yes. Campbell Podiatry PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Campbell Podiatry PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Campbell Podiatry PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Campbell Podiatry PC was last updated on February 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.