Individual provider · Type 1 NPI

Brad C. Russell, P.A.

Surgical Physician Assistant · Bel Air, MD

NPI number 1487696415 Active

Practice location

520 Upper Chesapeake Dr, Suite 306
Bel Air, MD 21014-4339

Call (410) 879-2006 Map

Fax (410) 879-0248

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XC0003144 (MD)

Surgical Physician Assistant: Definition to come...

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About NPI 1487696415

Brad C. Russell, P.A.'s National Provider Identifier is 1487696415, issued on Jun 12, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Bel Air, MD. The record was last updated on Jun 5, 2014.