Active NPI
Brandon Russell, D.O.
- Emergency Medicine Physician
- Huntington, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 34C.000055
- Practice address
- 2001 Stults Rd
Huntington, IN 46750-1291 - Phone
- (260) 482-4440
- Fax
- (260) 482-4442
- NPI assigned
- Jun 5, 2006
- 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 | 34C.000055 | OH | Primary |
| Emergency Medicine Physician | 207P00000X | 02003088-A | IN |
Addresses
Primary practice location
2001 Stults Rd
Huntington, IN 46750-1291
Mailing address
1791 Charlotte Landing Rd
Springport, MI 49284-9423
Phone (260) 665-2141
Other practice location 1
2121 Lake Ave
Fort Wayne, IN 46805-5100
Phone (260) 426-5431
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200825030 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, IN, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Michigan State University College of Osteopathic Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11109 Parkview Plaza Dr
Fort Wayne, IN 46845-1701
Phone (260) 266-1000
7950 W Jefferson Blvd
Fort Wayne, IN 46804-4140
Phone (260) 435-2699
Hospital & facility affiliations
- Bluffton Regional Medical Center
- Parkview Huntington Hospital
- Parkview Whitley Hospital
- Parkview Lagrange Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.82 of 100
- Quality
- 71.45
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.59
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02003088 | IN | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascension Borgess Hospital | Current | Accepting new patients | |
| Ascension Borgess Hospital | Emergency Medicine | Current | Accepting new patients |
| Cameron Memorial Community Hospital, Inc | Current | Accepting new patients | |
| Marion General Hospital | Current | Accepting new patients | |
| Emergency Professionals of Indiana, P.C. | Emergency Medicine | Current | Accepting new patients |
| Emergency Professional Services, Inc. | Emergency Medicine | Current | Accepting new patients |
| Concord Medical Group of Kentucky PLLC | Emergency Medicine | Current | Accepting new patients |
| Marion General Hospital | Current | Accepting new patients | |
| Cameron Memorial Community Hospital, Inc. | Current | Accepting new patients | |
| Ascension Borgess Hospital | Current | Accepting new patients | |
| Community Hospital of Lagrange County Inc | Current | Accepting new patients | |
| Southeastern Emergency Physicians of Memphis LLC | Emergency Medicine | Past | Accepting new patients |
| Indiana Emergency Professionals PC | Emergency Medicine | Past | Accepting new patients |
Locations
1381 N Wayne St
Angola, IN 46703
Phone (219) 481-4700
416 E Maumee St
Angola, IN 46703
Phone (260) 665-2141
306 E Maumee St
Angola, IN 46703
Phone (260) 667-5335
3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021
7950 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-7088
2520 E DuPont Rd
Fort Wayne, IN 46825
Phone (219) 407-8000
911 Marion Health Dr
Gas City, IN 46933
Phone (765) 660-7000
4781 Kaybee Dr
Gas City, IN 46933
Phone (765) 660-7840
207 N Townline Rd
Lagrange, IN 46761
Phone (260) 266-5300
441 N Wabash Ave
Marion, IN 46952
Phone (219) 482-4577
330 N Wabash Ave
Ste G-20
Marion, IN 46952
Phone (765) 660-7600
1400 E 9th St
Rochester, IN 46975
Phone (574) 223-2020
411 W Tipton St
Seymour, IN 47274
Phone (317) 888-3505
2200 N Section St
Sullivan, IN 47882
Phone (812) 268-6292
1521 Gull Rd
Kalamazoo, MI 49048
Phone (269) 226-5165
701 S Health Parkway
Three Rivers, MI 49093
Phone (269) 273-9691
18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000
1250 S Washington St
Van Wert, OH 45891
Phone (419) 232-2077
Organizations & group practices 14
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.
-
- Emergency Medicine Physician
- Fort Wayne, IN
- NPI 1013951219
-
- Emergency Medicine Physician
- Fort Wayne, IN
- NPI 1144215096
-
- Family Medicine Physician
- Angola, IN
- NPI 1770521478
-
- Critical Access Hospital
- Lagrange, IN
- NPI 1679674956
-
- Family Medicine Physician
- Marion, IN
- NPI 1528099041
-
- General Acute Care Hospital
- Kalamazoo, MI
- NPI 1568416311
-
- Emergency Medicine Physician
- Hardinsburg, KY
- NPI 1346746385
IN
-
- Emergency Medicine Physician
- Seaman, OH
- NPI 1093762353
-
- Critical Access Hospital
- Angola, IN
- NPI 1386683316
-
- General Acute Care Hospital
- Gas City, IN
- NPI 1760186373
-
- Diagnostic Radiology Physician
- Kalamazoo, MI
- NPI 1518753441
-
- Emergency Medicine Physician
- Three Rivers, MI
- NPI 1629495320
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bluffton, IN
- NPI 1376594366
-
- Critical Access Hospital
- Lagrange, IN
- NPI 1679674956
-
- General Acute Care Hospital
- Huntington, IN
- NPI 1003821729
-
- General Acute Care Hospital
- Columbia City, IN
- NPI 1205844495
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782777600000",
"number": "1588603708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1791 CHARLOTTE LANDING RD",
"city": "SPRINGPORT",
"state": "MI",
"postal_code": "492849423",
"telephone_number": "260-665-2141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 STULTS RD",
"city": "HUNTINGTON",
"state": "IN",
"postal_code": "467501291",
"telephone_number": "260-482-4440",
"fax_number": "260-482-4442"
}
],
"practiceLocations": [
{
"address_1": "2121 Lake Ave",
"address_purpose": "LOCATION",
"city": "Fort Wayne",
"state": "IN",
"postal_code": "468055100",
"country_code": "US",
"telephone_number": "260-426-5431",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUSSELL",
"first_name": "BRANDON",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-05",
"last_updated": "2026-06-30",
"certification_date": "2026-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "34C.000055",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IN",
"license": "02003088-A",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200825030",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Huntington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; 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.