Organization Active NPI

Russell Harms DPM PC

  • Foot & Ankle Surgery Podiatrist
  • Brazil, IN
National Provider Identifier
1114162435
Registry record updated Mar 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
41000207 Issued in IN
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

Updated by the provider on Mar 22, 2010

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)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
200938770MedicaidIN

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.