Russell S Dickerson MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

J1517 Issued in TX

Legal business name

RUSSELL S DICKERSON MD

Practice address

1101 N 19TH Street
Suite No 114
Abilene, TX 79601

Phone

(325) 670-5320

Fax

(325) 670-5329

NPI assigned

Nov 1, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Russell DickersonNPI 1821215237

Title

MD

Phone

(325) 670-5320

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Russell S Dickerson, M.D.

  • Neurology Physician
  • Abilene, TX
  • NPI 1821215237
  NPD (past) Authorized official

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740367838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 N 19TH STREET",
            "address_2": "SUITE NO 114",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "79601",
            "telephone_number": "325-670-5320",
            "fax_number": "325-670-5329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 N 19TH STREET",
            "address_2": "SUITE NO 114",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "79601",
            "telephone_number": "325-670-5320",
            "fax_number": "325-670-5329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL S DICKERSON MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DICKERSON",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "325-670-5320"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "J1517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Sullivan Rupp
• Rae Ellen Rupp, OD
• Rene Rushatsi
• Russell F. Burns M.D. P.a.
• Russell Liles, O.D., PLLC (Elite Eyecare of Abilene)
• Roger A Russell, PHD
• Marsha Dawn Rutland, PT
• Neelima Ryali, M.D.
• S.U.R. LLC (Abilene Nursing and Rehabilitation Center)
• Macarena Andrea Saavedra Olguin

• Neurology Physician in Abilene, TX
• Providers in Abilene, TX by specialty
• Neurology Physician in Texas

• 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.