BENJAMIN ADAM CAMPBELL (DO) – Family Medicine Physician, NPI 1376126540

BENJAMIN ADAM CAMPBELL (DO) is a healthcare provider. based in Sapulpa, Oklahoma. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. 8117 (OK). The NPI Number for BENJAMIN ADAM CAMPBELL (DO) is 1376126540

Main info

Male
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
BENJAMIN ADAM CAMPBELL (DO)
NPI
1376126540
Phone
(405) 437-6356
Address
930 HENSHAW AVE
Enumeration Date
4 May 2021
Last Update Date
16 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5802493795
Graduation Year
2022 (4 years ago)
PAC ID
0547789661
Group Practice PAC ID
3678672276
Professional Enrollment ID
I20250522000012
Address ID
OK737015712EN314XXRDXX601
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness85
Years active:5State licenses:1Digital endpointsOther names

1,775 FAMILY PRACTICE in OK

Provider Addresses for BENJAMIN ADAM CAMPBELL (DO)

  • 930 HENSHAW AVE

    SAPULPA, OK 740666014

    Phone: (405) 437-6356

    Type: Mailing

  • 314 E OWEN K GARRIOTT RD

    ENID, OK 737015712

    Phone: (580) 249-5888

    Fax: (580) 599-6855

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-05-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250522000012IFamily PracticeOKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 74066)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3678672276View full group profile
NameSpecialtyState
P O D I A T R YOK
Family PracticePA
Nurse PractitionerOK
Internal Medicine, EndocrinologyOK
Nurse PractitionerOK
-OK
Interventional Cardiology, Cardiovascular Disease (Cardiology)OK
General SurgeryOK
Cardiovascular Disease (Cardiology)OK
-PA

Reviews

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Frequently asked questions

Where can patients find BENJAMIN ADAM CAMPBELL (DO)'s NPI?
You can confirm BENJAMIN ADAM CAMPBELL (DO) with NPI 1376126540; it appears in the national provider directory.
Is BENJAMIN ADAM CAMPBELL (DO)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does BENJAMIN ADAM CAMPBELL (DO) treat or focus on?
Patients typically see BENJAMIN ADAM CAMPBELL (DO) under the specialty Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place BENJAMIN ADAM CAMPBELL (DO)?
The snapshot lists Sapulpa, Oklahoma for BENJAMIN ADAM CAMPBELL (DO); download NPPES for the complete set.
Is BENJAMIN ADAM CAMPBELL (DO) a real provider?
This page reflects official NPPES data for NPI 1376126540. Always confirm identity and privileges with the practice and licensing boards.

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