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DR. BRUCE WAYNE RUSSELL MD NPI 1447280300


NPI Information

NPI: 1447280300
Provider Name: DR. BRUCE WAYNE RUSSELL, MD
Classification: General Practice - 208D00000X
Entity Type: Individual

PECOS Registration: Yes

CLIA Number: 01D0699520

Address:
385 BRYAN RD STE 100
COMMUNITY PROFESSIONAL BUILDING
SUMITON, AL
ZIP 35148
Phone: (205) 648-6637
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DR. Bruce Wayne Russell, MD is a general practice in Sumiton, AL. DR. Bruce Wayne Russell, MD NPI is 1447280300. 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:

385 BRYAN RD STE 100
COMMUNITY PROFESSIONAL BUILDING
SUMITON, AL
ZIP 35148-422
Phone: (205) 648-6637
Fax: (205) 648-5186

The NPI 1447280300 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 01D0699520 - physician office with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, dexamethasone sodium phosphate, 1mg (HCPCS:J1100)
  • Urinalysis, manual test (HCPCS:81002)
  • Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial im (HCPCS:G0179)
  • Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imple (HCPCS:G0180)

The enumeration date for this NPI number is 7/4/2006 and was last updated on 7/7/2015.


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
1208D00000XGeneral Practice4253ALABAMAYes

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
1C70371MEDICARE UPINALABAMA

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: 11/14/2023

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.