| Bruce D Campbell MD | |
|
4303 Free Union Road Free Union VA 22940 | |
| (434) 978-1691 | |
| Not Available |
| Full Name | Bruce D Campbell MD |
|---|---|
| Speciality | Family Medicine |
| Location | 4303 Free Union Road, Free Union, Virginia |
| Authorized Official Name and Position | Bruce Donald Campbell (OWNER/PHYSICIAN) |
| Authorized Official Contact | 4349781691 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bruce D Campbell MD Po Box 220 Free Union VA 22940-0220 Ph: (434) 978-1691 | Bruce D Campbell MD 4303 Free Union Road Free Union VA 22940 Ph: (434) 978-1691 |
| NPI Number | 1144362146 |
|---|---|
| Provider Enumeration Date | 02/13/2007 |
| Last Update Date | 09/15/2026 |
| Certification Date | 09/15/2026 |
| Medicare PECOS PAC ID | 3072974260 |
|---|---|
| Medicare Enrollment ID | O20230803004336 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144362146 | NPI | - | NPPES |
| 005624738 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0101035228 (Virginia) | Primary |
| Provider Name | Bruce Donald Campbell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700922457 PECOS PAC ID: 1951577311 Enrollment ID: I20120106000006 |
| Provider Name | Michelle Lyne Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124515259 PECOS PAC ID: 7810244266 Enrollment ID: I20180717002757 |