Russell D. Beis MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

RUSSELL D. BEIS MD PC

Practice address

333 S Bellevue Blvd
Memphis, TN 38104-3530

Phone

(901) 729-2708

Fax

(901) 729-2720

NPI assigned

Jun 24, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Russell D Beis, MD

Title

President

Phone

(901) 582-4059

Specialties & licenses 1

Addresses

Other names 2

• Integrated Medicine Clinic Doing business as
• Radiant Life Healthcare Doing business as

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

{
    "created_epoch": "1624492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709337600000",
    "number": "1548839459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4728 SPOTTSWOOD AVE # 218",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381174817",
            "telephone_number": "901-582-4059",
            "fax_number": "901-726-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 S BELLEVUE BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381043530",
            "telephone_number": "901-729-2708",
            "fax_number": "901-729-2720"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1072 Wedgewood St",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381118138",
            "country_code": "US",
            "telephone_number": "901-582-4059",
            "fax_number": "901-726-2001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RUSSELL D. BEIS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-24",
        "last_updated": "2024-03-02",
        "certification_date": "2024-03-02",
        "status": "A",
        "authorized_official_last_name": "BEIS",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-582-4059",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrated Medicine Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Radiant Life Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth Rushing, LPC-MHSP
• George Van Dyck Rushing, MD
• Lewis Rushing
• Megan Leigh Rushing, DNP, CPNP-AC
• Reagan M Rushing
• Russell H. Patterson III, MD
• Amanda Leigh Russell, LPC-MHSP
• Danyell Russell
• Delvin Russell, PHARMD
• Haley Russell, APRN

• Internal Medicine Physician in Memphis, TN
• Providers in Memphis, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2024; 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.