Individual
DR. RUSSELL D. RADICAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
6100 PRIMACY PKWY, SUITE 105, MEMPHIS, TN 38119-0705
(901) 682-5335
(901) 682-5440
Mailing address
6100 PRIMACY PKWY, SUITE 105, MEMPHIS, TN 38119-0705
(901) 682-5335
(901) 682-5440
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
DC1171
TN
111NX0100X
Occupational Health Chiropractor
Primary
DC1171
TN
111NX0800X
Orthopedic Chiropractor
DC1171
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3009201
BLUECROSSBLUESHIELD
TN
01
—
5829049
AETNA HMO
TN
01
—
61387800-03
CIGNA
TN
01
—
61387800-04
CIGNA HMO
TN
Enumeration date
08/18/2006
Last updated
09/11/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us