Active NPI
Donald Barnard Russ, MD
- Psychiatry Physician
- Morganton, NC
National Provider Identifier
1598874489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 20957
- Practice address
- 350 E Parker Rd
Suite 100
Morganton, NC 28655-5155 - Phone
- (828) 624-1900
- Fax
- (828) 695-4256
- NPI assigned
- Aug 30, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 20957 | NC | Primary |
Addresses
Primary practice location
350 E Parker Rd
Suite 100
Morganton, NC 28655-5155
Mailing address
327 1St Ave NW
Hickory, NC 28601-6122
Phone (828) 695-5900
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 494265000 | Other | NC | MAGELLAN BEHAVIORAL HEALTH |
| 183470 | Other | NC | MEDCOST |
| REFER TO UBH | Other | NC | UNITED BEHAVIORAL HEALTH |
| REFER TO EVERCARE | Other | NC | EVERCARE |
| 2302593 | Other | NC | CIGNA BEHAVIORAL HEALTH |
| 5900196 | Medicaid | NC | |
| 74033 | Other | NC | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20957 | NC | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301270400000",
"number": "1598874489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "327 1ST AVE NW",
"city": "HICKORY",
"state": "NC",
"postal_code": "286016122",
"telephone_number": "828-695-5900",
"fax_number": "828-695-4256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 E PARKER RD",
"address_2": "SUITE 100",
"city": "MORGANTON",
"state": "NC",
"postal_code": "286555155",
"telephone_number": "828-624-1900",
"fax_number": "828-695-4256"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSS",
"first_name": "DONALD",
"middle_name": "BARNARD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2011-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NC",
"license": "20957",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN BEHAVIORAL HEALTH",
"identifier": "494265000",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "183470",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVIORAL HEALTH",
"identifier": "REFER TO UBH",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EVERCARE",
"identifier": "REFER TO EVERCARE",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA BEHAVIORAL HEALTH",
"identifier": "2302593",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5900196",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "74033",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Morganton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.