Nicholas Bryan Russell, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC011597 Issued in PA

Practice address

1810 Swamp Pike # 100
Gilbertsville, PA 19525-9307

Phone

(610) 327-3363

NPI assigned

Jan 5, 2021

Last updated

Jan 5, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ridge Chiropractic and Rehab LLC

  • Chiropractor
  • Sellersville, PA
  • NPI 1962110940
  Medicare reassignment NPD Authorized official
• New Hanover Chiropractic, P.C.

  • Chiropractor
  • Gilbertsville, PA
  • NPI 1689632929
  Medicare reassignment NPD
• Ridge Chiropractic Inc

  • Chiropractor
  • Sellersville, PA
  • NPI 1700894516
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609804800000",
    "number": "1023606076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1027 INGRAMS WAY",
            "city": "TELFORD",
            "state": "PA",
            "postal_code": "189691379",
            "telephone_number": "267-281-0665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 SWAMP PIKE # 100",
            "city": "GILBERTSVILLE",
            "state": "PA",
            "postal_code": "195259307",
            "telephone_number": "610-327-3363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "NICHOLAS",
        "middle_name": "BRYAN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-05",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC011597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cara J Reitnauer, O.D.
• Megan M Repko
• Erika Ringwald, RD, LDN
• Rite Medical Care PC
• Gina Ruppert
• Sheila Marlene Scartelli, B.S., RPH, CIP
• Wade Erik Schalles, DPT
• Jenna Senholzi
• Rolf Christian Shaffer, RN
• Faizan Shaikh, BDS MPH DMD

• Chiropractor in Gilbertsville, PA
• Providers in Gilbertsville, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.