Individual
MR. BRENT CHARLES RUSSELL
Active
Individual
MR. BRENT CHARLES RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.-C.
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
50-00-0863
OH
363AM0700X
Medical Physician Assistant
5601002647
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
55.000448
CERTIFICATE TO PRESCRIBE
OH
01
—
5601002647
PAIN MANAGEMENT
MI
Enumeration date
10/17/2006
Last updated
03/07/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up