Active NPI
Russell Harms DPM PC
- Foot & Ankle Surgery Podiatrist
- Brazil, IN
National Provider Identifier
1114162435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 41000207
- Legal business name
- RUSSELL HARMS DPM PC
- Practice address
- 1214 E National Ave
Suite 130
Brazil, IN 47834-2700 - Phone
- (812) 448-9290
- Fax
- (812) 448-9296
- NPI assigned
- Dec 16, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Russell Harms, DPM
- Title
- Owner
- Phone
- (812) 448-9290
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 41000207 | IN | Primary |
Addresses
Primary practice location
1214 E National Ave
Suite 130
Brazil, IN 47834-2700
Mailing address
1214 E National Ave
Suite 130
Brazil, IN 47834-2700
Phone (812) 448-9290
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200938770 | Medicaid | IN |
National Provider Directory
National Provider DirectoryLocations
1214 E National Ave
Ste 90B
Brazil, IN 47834
Phone (812) 448-9290
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Brazil, IN
- NPI 1003858762
-
- Family Nurse Practitioner
- Edgewood, KY
- NPI 1902181258
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229385600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1269216000000",
"number": "1114162435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1214 E NATIONAL AVE",
"address_2": "SUITE 130",
"city": "BRAZIL",
"state": "IN",
"postal_code": "478342700",
"telephone_number": "812-448-9290",
"fax_number": "812-448-9296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1214 E NATIONAL AVE",
"address_2": "SUITE 130",
"city": "BRAZIL",
"state": "IN",
"postal_code": "478342700",
"telephone_number": "812-448-9290",
"fax_number": "812-448-9296"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RUSSELL HARMS DPM PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-12-16",
"last_updated": "2010-03-22",
"status": "A",
"authorized_official_last_name": "HARMS",
"authorized_official_first_name": "RUSSELL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "812-448-9290",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "IN",
"license": "41000207",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200938770",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brazil, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.