Individual
WILLIAM M RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5317 ATLANTIC AVE STE 104, DELRAY BEACH, FL 33484-8175
(561) 496-6000
Mailing address
5700 LAKE WORTH RD STE 204, GREENACRES, FL 33463-3213
(561) 966-7707
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D30182
MD
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
D0030182
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0012
BCBS OF DC
—
01
—
0943ER-399490-05
CAREFIRST BCBS OF MD
—
05
—
369001600
—
MD
01
—
39949003
BCBS OF MD
—
Enumeration date
10/13/2006
Last updated
12/13/2021
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