# R BRET CAMPBELL DO & ASSOC LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952744641
- **Authorized official:** R BRET CAMPBELL D.O. (DOCTOR OF OSTEOPATHY)
- **Authorized official phone:** (208) 878-9432

## Contact information

- **Practice address:** 1501 HILAND AVE STE A, BURLEY, ID 83318-2688
- **Practice address phone:** (208) 878-9432
- **Practice address fax:** (208) 878-4576
- **Mailing address:** 1404 POMERELLE AVE, SUITE B, BURLEY, ID 83318-2688
- **Mailing address phone:** (208) 878-9432
- **Mailing address fax:** (208) 878-4576

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 04/11/2013
- **Last updated:** 03/29/2016