Timothy Russell, R.T. (R)

Primary specialty

Radiologic TechnologistTaxonomy code 247100000X

License

434864 Issued in TN

Practice address

6431 Wade Springs Rd
Murfreesboro, TN 37130-8719

Phone

(615) 522-1094

Fax

(866) 981-2872

NPI assigned

Jun 3, 2014

Last updated

Jun 3, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Trinity Mobile X-Ray

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Murfreesboro, TN
  • NPI 1851641567

  Radiologic Technologist

  NPD (past) Authorized official

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

{
    "created_epoch": "1401753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401753600000",
    "number": "1528471083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6431 WADE SPRINGS RD",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371308719",
            "telephone_number": "615-522-1094",
            "fax_number": "866-981-2872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6431 WADE SPRINGS RD",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371308719",
            "telephone_number": "615-522-1094",
            "fax_number": "866-981-2872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "TIMOTHY",
        "credential": "R.T. (R)",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-03",
        "last_updated": "2014-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": "TN",
            "license": "434864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Britney Rudd, NP
• Joseph James Ruggebereg, LMSW
• Phillip Rundell
• James Lundin Rungee, MD
• Danielle Ruppenthal, PA
• Csaba Rusznak, MD, PHD, DSC
• Kelley Grace Ruth, SLP
• Rutherford Back Institute
• Rutherford Clinic of Chiropractic Corp
• Rutherford County Board of Education

• Radiologic Technologist in Murfreesboro, TN
• Providers in Murfreesboro, TN by specialty
• Radiologic Technologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2014; 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.