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DR. RUSSELL D. RADICAN DC NPI 1528172368


NPI Information

NPI: 1528172368
Provider Name: DR. RUSSELL D. RADICAN, DC
Classification: Chiropractor - 111NS0005X
Entity Type: Individual

Specialization: Sports Physician

Address:
6100 PRIMACY PKWY
SUITE 105
MEMPHIS, TN
ZIP 38119
Phone: (901) 682-5335
Get Directions

DR. Russell D. Radican, DC is a sports physician chiropractor in Memphis, TN. The provider is a sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. DR. Russell D. Radican, DC NPI is 1528172368. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6100 PRIMACY PKWY
SUITE 105
MEMPHIS, TN
ZIP 38119-705
Phone: (901) 682-5335
Fax: (901) 682-5440

The enumeration date for this NPI number is 8/18/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111NS0005XChiropractorSports PhysicianDC1171TENNESSEEYes
2111NX0100XChiropractorOccupational HealthDC1171TENNESSEEX
3111NX0800XChiropractorOrthopedicDC1171TENNESSEEX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13009201OTHERTENNESSEEBLUECROSSBLUESHIELD
261387800-03OTHERTENNESSEECIGNA
35829049OTHERTENNESSEEAETNA HMO
43677633MEDICARE ID-TYPE UNSPECIFIEDTENNESSEE
561387800-04OTHERTENNESSEECIGNA HMO
6U54784MEDICARE UPINTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.