Organization Active NPI

Chris B. Russell M.D., P.C.

  • Primary Care Clinic/Center
  • Huntsville, AL
National Provider Identifier
1386784007
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
15044 Issued in AL
Legal business name
CHRIS B. RUSSELL M.D., P.C.
Practice address
204 Lowe Ave SE
Suite 6, BLDG 2
Huntsville, AL 35801-4262
Phone
(256) 533-0856
Fax
(256) 533-7981
NPI assigned
Feb 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Chris B Russell, M.D.NPI 1033259742
Title
President
Phone
(256) 533-0856

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 15044 AL Primary

Addresses

Primary practice location

204 Lowe Ave SE
Suite 6, BLDG 2
Huntsville, AL 35801-4262

Mailing address

204 Lowe Ave SE
Suite 6, BLDG 2
Huntsville, AL 35801-4262
Phone (256) 533-0856

National Provider Directory

National Provider Directory

Locations

204 Lowe Ave SE
Ste 6
Huntsville, AL 35801
Phone (256) 533-0856

Practitioners & affiliated clinicians

Practitioners 1

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": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386784007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 LOWE AVE SE",
            "address_2": "SUITE 6, BLDG 2",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014262",
            "telephone_number": "256-533-0856",
            "fax_number": "256-533-7981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 LOWE AVE SE",
            "address_2": "SUITE 6, BLDG 2",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014262",
            "telephone_number": "256-533-0856",
            "fax_number": "256-533-7981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRIS B. RUSSELL M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-533-0856",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AL",
            "license": "15044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.