Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
DR. RUSSELL BROOKS LEGG VII
Active
Individual
DR. RUSSELL BROOKS LEGG VII
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
WV-2123
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000728088
MT. STATE BC/BS INSURANCE
—
05
—
0135486000
—
WV
01
—
55-0560454
FEIN NUMBER
WV
01
—
728088
UNITED CONCORDIA INSURANC
—
01
—
WV2123
STATE LICENSE
WV
Enumeration date
06/06/2006
Last updated
12/13/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers