Russ Deacon Birdwell, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

G71405 Issued in TX

Practice address

3600 Shire Blvd
Suite 104
Richardson, TX 75082-2240

Phone

(972) 487-6400

Fax

(972) 487-1686

NPI assigned

May 16, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

General Surgery

Education

Texas Tech University Health Science Center School of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Dallas Surgical Specialists, PAGroup PAC ID 7315998929, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Methodist Richardson Medical Center Hospital, Richardson, TX, CCN 450537
• Baylor Scott & White Medical Center Plano Hospital, Plano, TX, CCN 450890

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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 and National Provider Directory roles.

• North Dallas Surgical Specialists, PA

  • Surgery Physician
  • Richardson, TX
  • NPI 1912935560
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baylor Regional Medical Center at Plano

  • General Acute Care Hospital
  • Plano, TX
  • NPI 1649273434
  Care Compare affiliation
• Methodist Hospitals of Dallas

  • General Acute Care Hospital
  • Richardson, TX
  • NPI 1033165501
  Care Compare affiliation

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1376595991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 SHIRE BLVD",
            "address_2": "SUITE 104",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750822240",
            "telephone_number": "972-487-6400",
            "fax_number": "972-487-1686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 SHIRE BLVD",
            "address_2": "SUITE 104",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750822240",
            "telephone_number": "972-487-6400",
            "fax_number": "972-487-1686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRDWELL",
        "first_name": "RUSS",
        "middle_name": "DEACON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "G71405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105418103",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alana Biggs
• Rex Billings
• Elizabeth Ann Binef, BCABA
• Bioplus Specialty Infusion TX, LLC
• Jessica Ashlee Birchwell, LCSW
• Biren H Parikh, MD, PA
• Donald T. Bishop, R.PH
• Jill Bishop, PT
• Danna Bismar
• Douglas N Black, O.D

• Surgery Physician in Richardson, TX
• Providers in Richardson, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; 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.

Verify at the official NPI Registry.