Russell L Ingram (NPI# 1639163397, PAC ID# 5395631808) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1639163397 |
| PAC ID by PECOS | 5395631808 |
| Professional Enrollment ID | I20040223000925 |
| Full Name | Russell L Ingram |
| Address |
1460 2nd Ave Sw Suite A Jacksonville AL 36265-3358 |
| Phone Number | 2504352180 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE |
| Graduation Year | 1976 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010078 | NORTHEAST ALABAMA REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1460 2nd Ave Sw, Suite A, Jacksonville, AL 36265-3358 | 2504352180 |
| Street Address |
1460 2ND AVE SW SUITE A |
| City | JACKSONVILLE |
| State | AL |
| Zip | 36265-3358 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Terry L Bonds | Optometry | 601 Pelham Rd S, Jacksonville, AL 36265-2731 | |
| Myrtell L Cantrell | Physician Assistant | Southern Np Associates LLC | 410 Wilson Swdr, Jacksonville, AL 36265-2754 |
| Robin L Bauer | Physical Therapy | Drayer Physical Therapy-alabama, LLC | 1622 Church Ave Se, Jacksonville, AL 36265-3200 |
| Stephen Phillip Herring | Physical Therapy | Drayer Physical Therapy-alabama, LLC | 1622 Church Ave Se, Jacksonville, AL 36265-3200 |
| David G Chandler | Optometry | David G Chandler Od PC | 1640 Pelham Rd S, Jacksonville, AL 36265-3312 |
| Lawrence Rosen | Urology | Northeast Alabama Urology Center, P.C. | 201 Henry Swrd, Jacksonville, AL 36265-3324 |
| John O Brown | Otolaryngology | 1460 1st Ave Sw, Jacksonville, AL 36265-3329 | |
| Eduardo Villeda | Internal Medicine | 1701 Pelham Rd S, Suite B, Jacksonville, AL 36265-3353 | |
| James R Yates | Internal Medicine | 1460 2nd Ave Sw A, Jacksonville, AL 36265-3358 | |
| Tahir Siddiq | Internal Medicine | Self Recovery LLC | 1701 Pelham Rd S, Jacksonville, AL 36265-3369 |
| Find all physicians in zip 36265 | |||
| City | JACKSONVILLE |
| Zip Code | 36265 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | JACKSONVILLE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Russell L Ingram.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.