Provider Demographics
NPI:1194746909
Name:BISHOP, ROBERT CAMPBELL (DO)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:CAMPBELL
Last Name:BISHOP
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:48 BELNAP AVENUE
Mailing Address - Street 2:MAXFIELD CLINIC
Mailing Address - City:NEWPORT
Mailing Address - State:NH
Mailing Address - Zip Code:03773
Mailing Address - Country:US
Mailing Address - Phone:603-863-3434
Mailing Address - Fax:603-863-1728
Practice Address - Street 1:48 BELKNAP AVENUE
Practice Address - Street 2:MAXFIELD CLINIC
Practice Address - City:NEWPORT
Practice Address - State:NH
Practice Address - Zip Code:03773
Practice Address - Country:US
Practice Address - Phone:603-863-3434
Practice Address - Fax:603-863-1728
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH7866204D00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM
Not Answered207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH3436OtherANTHEM
NH3436Medicare ID - Type Unspecified
D93376Medicare UPIN