Individual provider · Type 1 NPI
Bruce Wayne Russell, MD
General Practice Physician · Sumiton, AL
NPI number
1447280300
Active
Practice location
385 Bryan Rd Ste 100, Community Professional Building
Sumiton, AL 35148-3422
Fax (205) 648-5186
Mailing address
PO Box 159
Sumiton, AL 35148-0159
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 4253 (AL) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
About NPI 1447280300
Bruce Wayne Russell, MD's National Provider Identifier is 1447280300, issued on Jul 4, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Sumiton, AL. The record was last updated on Jul 7, 2015.