Individual provider Active NPI

Russell Pritchett Hall III, M.D.

  • Dermatology Physician
  • Durham, NC
National Provider Identifier
1205923042
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
27920 Issued in NC
Practice address
200 Trent Drive
Duke University Medical Center
Durham, NC 27715-3135
Phone
(919) 684-3110
Fax
(919) 684-3002
NPI assigned
Oct 5, 2006
Last updated
Oct 11, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 27920 NC Primary
Clinical & Laboratory Dermatological Immunology Physician 207NI0002X 27920 NC

Addresses

Primary practice location

200 Trent Drive
Duke University Medical Center
Durham, NC 27715-3135

Mailing address

PO Box 3135
Duke University Medical Center
Durham, NC 27715-3135
Phone (919) 684-3110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100519000750 NC Practitioner - Dermatology 8022147610 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
27920NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Duke Health Integrated Practice, Inc. CurrentSince Jul 1, 2023 Accepting new patients

Locations

200 Trent Dr
Durham, NC 27710
Phone (919) 668-0209

2100 Erwin Rd
Durham, NC 27705
Phone (919) 648-8111

40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588

5324 McFarland Rd
Durham, NC 27707
Phone (919) 354-7077

Interoperability endpoints

  • Direct secure messaging: rhall13575@direct.medicine.duke.edu

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192060800000",
    "number": "1205923042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3135",
            "address_2": "DUKE UNIVERSITY MEDICAL CENTER",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277153135",
            "telephone_number": "919-684-3110",
            "fax_number": "919-684-3002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 TRENT DRIVE",
            "address_2": "DUKE UNIVERSITY MEDICAL CENTER",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277153135",
            "telephone_number": "919-684-3110",
            "fax_number": "919-684-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "RUSSELL",
        "middle_name": "PRITCHETT",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "27920",
            "primary": true
        },
        {
            "code": "207NI0002X",
            "taxonomy_group": "",
            "desc": "Dermatology, Clinical & Laboratory Dermatological Immunology",
            "state": "NC",
            "license": "27920",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.