DR. DAVID PAUL RUSSELL (NPI# 1801845862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801845862 |
| Entity Type | Individual |
| Full Name | DR. DAVID PAUL RUSSELL |
| Credential | M.D. |
| Practice Address |
249 Midway Medical Park Bristol TN 37620-1693 |
| Practice Telephone | 4239683033 |
| Practice Fax Number | 4239683789 |
| Mailing Telephone | 4239683033 |
| Mailing Fax Number | 4239683789 |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2020-06-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 19081 | TN | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 006241069 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 208 Medical Park Blvd, Bristol, TN 376207343 | 4239894050 | 4239903044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477167666 | David Joseph Russell | Nurse Practitioner | 17846 Glenwood Rd, Manteca, CA 95336-9521 | 2020-09-03 |
| 1407234172 | David Lee Russell Jr. | Counselor | 60 Comstock Ave, Providence, RI 02907-1206 | 2015-05-13 |
| 1295024719 | David D Russell | Rehabilitation Counselor | 4410 Dillon Ln Ste 17, Corpus Christi, TX 78415-5335 | 2011-04-05 |
| 1932321700 | David Stanton Russell | Radiology | 2113 Wilshire Dr, Enid, OK 73703-6622 | 2007-05-02 |
| 1336269109 | David Lee Russell Sr. | Dentist | 14 Racetrack Rd Nw, Fort Walton Beach, FL 32547-1642 | 2007-03-29 |
| 1528196516 | David Henry Russell | Dentist | 4414 Kukui Grove St, Suite #103, Lihue, HI 96766-2016 | 2007-03-01 |
| 1386730018 | David Robert Russell | Dentist | 8334 Winter Gardens Blvd, Lakeside, CA 92040-5409 | 2006-10-04 |
| 1376551192 | David Richard Russell | Dentist | 660 Rising Sun Road, Millersburg, PA 17061 | 2006-08-04 |
| 1184654501 | David Alfred Russell | Dentist | #3 Post Office Square, Suite #900, Boston, MA 02109 | 2006-07-03 |
| 1740233162 | David Lee Russell | Family Medicine | 7 Deye Ln, Eastsound, WA 98245-8578 | 2006-05-18 |
| Street Address |
249 MIDWAY MEDICAL PARK |
| City | BRISTOL |
| State | TN |
| Zip Code | 37620-1693 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770532095 | Jonathan Craig Hall | Specialist | 249 Midway Medical Park, Bristol, TN 37620-1693 | 2006-05-06 |
| 1902959844 | The Regional Eye Center, P.C. | Ophthalmology | 249 Midway Medical Park, Suite 102, Bristol, TN 37620-1693 | 2007-01-22 |
| 1598836165 | Surgical Assoicates, P.C. | Specialist | 249 Midway Medical Park, Bristol, TN 37620-1693 | 2006-11-13 |
| 1912082108 | Alan L. Gorrell | Obstetrics & Gynecology | 249 Midway Medical Park, Suite 202, Bristol, TN 37620-1693 | 2006-10-26 |
| 1720037773 | Wesley J. Harris | Specialist | 249 Midway Medical Park, Bristol, TN 37620-1693 | 2006-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376180216 | Firstep, LLC | Psychiatry & Neurology | 3183 W. State St., Suite 1201, Bristol, TN 37620 | 2019-12-10 |
| 1578047726 | Amanda Harville Mcgrady | Psychologist | 105 Walnut Circle, Bristol, TN 37620 | 2018-09-23 |
| 1467932533 | Teresa Mooney | Nurse Practitioner | 324 Leslie Ct, Bristol, TN 37620 | 2018-08-17 |
| 1992285308 | Jeremy Aurbrey Blanzy | Nurse Practitioner | 1 Medical Park Boulevard, Suite 400e, Bristol, TN 37620 | 2018-08-15 |
| 1255841805 | Amanda L Pillion | Audiologist | 225 Midway Medical Park, Bristol, VA 37620 | 2017-10-10 |
| 1841717717 | Joel Blevins | Driver | 301 Webb Ct, Bristol, TN 37620 | 2017-08-23 |
| 1831579796 | Dr. Marie Crawford, Ph.d., Pllc | Psychologist | 739 Bluff City Highway, Suite 5, Bristol, TN 37620 | 2015-06-05 |
| 1508297169 | Cassandra Marie Conry | Chiropractor | 800 Hill St., Bristol, TN 37620 | 2013-12-09 |
| 1780025874 | Laura Leann Lawson-renfro | Nurse Practitioner | 260 Midway St, Bristol, TN 37620 | 2013-07-17 |
| 1760822365 | Ricky Bhimani | Internal Medicine | 208 Medical Park Boulevard, Bristol, TN 37620 | 2013-06-27 |
| Find all providers in zip 37620 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467988360 | Shirley R Blake | Specialist | 24063 Highpoint Rd, Bristol, VA 24202-4707 | 2017-05-11 |
| 1801103411 | Nelson Edward Link | Specialist | 132 Sequoia Ln, Bristol, TN 37620-2625 | 2010-09-02 |
| 1316151863 | Driola Brahaj | Specialist | 41 Brewster Rd # Levela, Bristol, CT 06010-5161 | 2007-05-10 |
| 1194896597 | Bristol Gynecology & Obstetrics, P.C. | Specialist | 249 Midway Medical Park Ste 101, Bristol, TN 37620-1693 | 2006-11-10 |
| 1063513778 | Thomas Duncan Makres | Specialist | 320 Steeles Rd, Bristol, TN 37620-9532 | 2006-09-26 |
| 1558310763 | Robert J Ouellette Jr. | Specialist | 156 Farmington Ave, Bristol, CT 06010-4218 | 2006-05-08 |
| 1770532095 | Jonathan Craig Hall | Specialist | 249 Midway Medical Park, Bristol, TN 37620-1693 | 2006-05-06 |
| 1316937808 | Shue Wong | Specialist | 120 Boy St, Bristol, CT 06010-8932 | 2005-10-26 |
| 1588652390 | Edward Weingarden | Specialist | 47 Brewster Rd, Bristol, CT 06010-5142 | 2005-10-06 |
| 1902801228 | Suzanne E Patton | Specialist | 349 Island Rd, Bristol, VA 24201-7009 | 2005-06-14 |
| Find all providers in BRISTOL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.