Russell Keith Perry, MD

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

N3241 Issued in TX

Practice address

205 N 11TH St
Beaumont, TX 77702-2213

Phone

(409) 892-7090

Fax

(409) 892-4324

NPI assigned

Oct 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Allergy/Immunology

Education

University of Texas Medical School at Houston, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Russell Perry, MD, PA

  • Allergy & Immunology Physician
  • Beaumont, TX
  • NPI 1194125161
  Medicare reassignment NPD
• William a. Fawcett, IV, MD

  • Allergy Physician
  • Beaumont, TX
  • NPI 1902090434
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1780770362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 N 11TH ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777022213",
            "telephone_number": "409-892-7090",
            "fax_number": "409-892-4324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 N 11TH ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777022213",
            "telephone_number": "409-892-7090",
            "fax_number": "409-892-4324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "RUSSELL",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "19074",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "TX",
            "license": "N3241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kate Permenter, MS, SLP-CCC
• Permian Premier Health Services Inc
• Permian Premier Health Services Inc
• Deanna Lynn Perry
• Maureen Sineade Perry, R.T.(R) (ARRT)
• Lyric Pervis
• Chelsey N Peters
• Jennifer Lynn Peters, RD, LD
• Leonora K Petty, MD
• Justice Peveto, DDS

• Allergy & Immunology Physician in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Allergy & Immunology Physician in Texas

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

Verify at the official NPI Registry.