Individual
STEPHEN WILBON RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
619 19TH STREET SOUTH, BIRMINGHAM, AL 35233
(205) 934-6600
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
28087
AL
207R00000X
Internal Medicine Physician
35-080853
OH
208000000X
Pediatrics Physician
35-080853
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009943077
—
AL
01
—
051110649
BLUE CROSS
AL
01
—
051114567
BLUE CROSS
AL
01
—
051541057
BLUE CROSS
AL
05
—
108956
—
AL
05
—
116248
—
AL
05
—
125496
—
AL
05
—
127053
—
AL
05
—
200469750
—
IN
05
—
2467736
—
OH
01
—
51103180
BLUE CROSS
AL
05
—
64078314
—
KY
01
—
P00653613
RAILROAD MEDICARE
AL
Enumeration date
05/03/2006
Last updated
06/29/2023
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