Individual provider Active NPI

Russell William Eggert, M.D., M.P.H.

  • Public Health & General Preventive Medicine Physician
  • Tallahassee, FL
National Provider Identifier
1932315629
Registry record updated May 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
License
ME 53875 Issued in FL
Practice address
Florida Dept Health
4052 Bald Cypress Way, Bin A23
Tallahassee, FL 32399-1748
Phone
(850) 245-4787
Fax
(850) 922-0462
NPI assigned
May 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME 53875 FL
Public Health & General Preventive Medicine Physician 2083P0901X ME 53875 FL Primary

Addresses

Primary practice location

Florida Dept Health
4052 Bald Cypress Way, Bin A23
Tallahassee, FL 32399-1748

Mailing address

Florida Dept Health
4052 Bald Cypress Way, Bin A23
Tallahassee, FL 32399-1748
Phone (850) 245-4787

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 53875FLMDPublic Health & General Preventive Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274659200000",
    "number": "1932315629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FLORIDA DEPT HEALTH",
            "address_2": "4052 BALD CYPRESS WAY, BIN A23",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323991748",
            "telephone_number": "850-245-4787",
            "fax_number": "850-922-0462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FLORIDA DEPT HEALTH",
            "address_2": "4052 BALD CYPRESS WAY, BIN A23",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323991748",
            "telephone_number": "850-245-4787",
            "fax_number": "850-922-0462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGGERT",
        "first_name": "RUSSELL",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-16",
        "last_updated": "2010-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME 53875",
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "FL",
            "license": "ME 53875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2010; 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.