Individual
MR. BRUCE LYNN RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D. PLLC
Contact information
Practice address
111 BARTON HILL RD, SCHOHARIE, NY 12157-4806
(518) 295-8521
Mailing address
1 ATWELL RD, COOPERSTOWN, NY 13326
(607) 547-3480
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
G8391
TX
207Q00000X
Family Medicine Physician
Primary
187912
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01276695
—
NY
05
—
1821670-01
—
TX
Enumeration date
09/19/2005
Last updated
12/03/2025
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