ANTHONY RUSSO NPI 1700860400

NPI Information

  • NPI: 1700860400
  • Provider Name: ANTHONY RUSSO
  • Classification: General Practice - 208D00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 821 GRAND AVENUE PKWY STE 200
    PFLUGERVILLE, TX
    ZIP 78660
  • Phone: (512) 251-5586

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NPI Details

Anthony Russo is a general practice in Pflugerville, TX with 45 years of experience. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Anthony Russo NPI is 1700860400. 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:

821 GRAND AVENUE PKWY STE 200
PFLUGERVILLE, TX
ZIP 78660-197
Phone: (512) 251-5586
Fax: (512) 549-6260

The NPI 1700860400 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 enumeration date for this NPI number is 12/6/2005 and was last updated on 7/30/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeG0039TEXASYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100B91ROTHERTEXASBLUE CROSS BLUE SHIELD TX
2G0039OTHERTEXASSTATE MEDICAL LICENSE
3115675OTHERTEXASAETNA

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: 11/21/2025

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