Active NPI
Bruce Lynn Russell, M.D. PLLC
- Family Medicine Physician
- Schoharie, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 187912
- Practice address
- 111 Barton Hill Rd
Schoharie, NY 12157-4806 - Phone
- (518) 295-8521
- NPI assigned
- Sep 19, 2005
- Last updated
- Dec 3, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | G8391 | TX | |
| Family Medicine Physician | 207Q00000X | 187912 | NY | Primary |
Addresses
Primary practice location
111 Barton Hill Rd
Schoharie, NY 12157-4806
Mailing address
1 Atwell Rd
Cooperstown, NY 13326
Phone (607) 547-3480
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01276695 | Medicaid | NY | |
| 1821670-01 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Texas Medical School at Houston, 1984
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
111 Barton Hill Rd
Schoharie, NY 12157-4806
Phone (518) 295-8521
600 Cut Off Rd
Suite 14
Port Aransas, TX 78373-4246
Phone (361) 749-1930
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 11 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 187912 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary Imogene Bassett Hospital | Current | Accepting new patients | |
| Bequillard & Bequillard LLC | Family Medicine | Current | Accepting new patients |
| Mary Imogene Bassett Hospital | Current | Accepting new patients |
Locations
136 Parkway Dr
Cobleskill, NY 12043
Phone (518) 234-2555
178 Grandview Dr
Cobleskill, NY 12043
Phone (518) 254-3456
1 Atwell Rd
Cooperstown, NY 13326
Phone (607) 547-3480
111 Barton Hill Rd
Schoharie, NY 12157
Phone (518) 295-8521
600 Cut Off Rd
Ste 14
Port Aransas, TX 78373
Phone (361) 749-1930
Organizations & group practices 3
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.
-
dba Bassett Medical Center
- Multi-Specialty Clinic/Center
- Cooperstown, NY
- NPI 1083664221
-
dba Port Aransas Medical
- Family Medicine Physician
- Port Aransas, TX
- NPI 1134385198
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Cobleskill, NY
- NPI 1689741985
-
- Critical Access Hospital
- Cobleskill, NY
- NPI 1891862579
-
dba Bassett Healthcare
- Rural Acute Care Hospital
- Cooperstown, NY
- NPI 1780600577
-
dba CHRISTUS Spohn Hospital Corpus Christi
- General Acute Care Hospital
- Corpus Christi, TX
- NPI 1689641680
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764720000000",
"number": "1336134188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 ATWELL RD",
"city": "COOPERSTOWN",
"state": "NY",
"postal_code": "13326",
"telephone_number": "607-547-3480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 BARTON HILL RD",
"city": "SCHOHARIE",
"state": "NY",
"postal_code": "121574806",
"telephone_number": "518-295-8521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSELL",
"first_name": "BRUCE",
"middle_name": "LYNN",
"name_prefix": "Mr.",
"credential": "M.D. PLLC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-19",
"last_updated": "2025-12-03",
"certification_date": "2025-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "G8391",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "187912",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01276695",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1821670-01",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Schoharie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.