MR. ALEXANDER BREVARD RUSSELL, JR (NPI# 1093787988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093787988 |
| Entity Type | Individual |
| Full Name | MR. ALEXANDER BREVARD RUSSELL, JR |
| Credential | MD |
| Practice Address |
245 N Binkley St Suite 101 Soldotna AK 99669-7500 |
| Practice Telephone | 9077144111 |
| Practice Fax Number | 8449123953 |
| Mailing Telephone | 9077144112 |
| Mailing Fax Number | 9072622821 |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2020-07-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 010653 | GA | Allopathic & Osteopathic Physicians |
| Y | 208000000X | Pediatrics | 786 | AK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | MD0786 | 05 |
| Street Address |
245 N BINKLEY ST SUITE 101 |
| City | SOLDOTNA |
| State | AK |
| Zip Code | 99669-7500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699333229 | Patricia Mills Merwin | Social Worker | 245 N Binkley St, Soldotna, AK 99669-7500 | 2019-05-29 |
| 1912565540 | Phillip R Lazenby | Counselor | 245 N Binkley St, Soldotna, AK 99669-7500 | 2019-05-29 |
| 1811389125 | Rebecca Jean Schultz | Physician Assistant | 245 N Binkley St, Suite 103, Soldotna, AK 99669-7500 | 2015-02-23 |
| 1063833937 | Upstream Family Medicine Inc | Family Medicine | 245 N Binkley St, Ste 103, Soldotna, AK 99669-7523 | 2013-12-19 |
| 1831404805 | Central Peninsula General Hospital | General Acute Care Hospital | 245 N Binkley St, Suite 101, Soldotna, AK 99669-7523 | 2010-08-13 |
| 1295059921 | Central Peninsula General Hospital Inc | General Acute Care Hospital | 245 N Binkley St, Suite 101, Soldotna, AK 99669-7523 | 2010-03-24 |
| 1215058177 | Allison Joy Smith | Family Medicine | 245 N Binkley St, Suite 101, Soldotna, AK 99669-7500 | 2007-04-02 |
| 1548299274 | Rachel V Walden | Pediatrics | 245 N Binkley St, Suite 101, Soldotna, AK 99669-7500 | 2006-07-03 |
| 1710946702 | Gonzalo Araoz Fraser | Family Medicine | 245 N Binkley St, Suite 101, Soldotna, AK 99669-7523 | 2006-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881201226 | Kyle Arron Shassetz | Counselor | 43335 K-beach Rd., Soldotna, AK 99669 | 2020-09-29 |
| 1720614993 | Peninsula Instacare | Clinic/Center | 34581 Kenai Spur Hwy, Suite 1, Soldotna, AK 99669 | 2020-03-19 |
| 1871141077 | Alaine Viola Lagasse | Counselor | Kenai Vet Center, 43299 Kalifornsky Beach Road Ste 4, Soldotna, AK 99669 | 2019-08-30 |
| 1962970574 | Ryder R Storm | Behavior Technician | 338800 Community College Drive, Suite 1, Soldotna, AK 99669 | 2018-11-13 |
| 1356821540 | Tanecia Webster | Nurse Practitioner | 36570 Kenai Spur Hwy, Ste 103a, Soldotna, AK 99669 | 2018-08-16 |
| 1821519869 | Theresa Napolitano | Case Manager/Care Coordinator | 35477 Kenai Spur Hwy Suite 203, Soldotna, AK 99669 | 2017-06-29 |
| 1689048282 | Jeanne Bignell | Licensed Practical Nurse | 35020 Alaskan View Lane, Soldotna, AK 99669 | 2015-11-19 |
| 1952786105 | Ian Charles Mcmullen | Pharmacist | 44001 Sterling Highway, Soldotna, AK 99669 | 2015-07-29 |
| 1841679933 | Lana Clymer | Case Manager/Care Coordinator | 22994 Kalifornsky Beach Rd, Soldotna, AK 99669 | 2015-05-22 |
| 1861800773 | Phillip Bruce | Physical Therapy Assistant | 35105 Kenai Spury Hwy, Suite A, Soldotna, AK 99669 | 2014-07-24 |
| Find all providers in zip 99669 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225263445 | Central Peninsula General Hospital | Pediatrics | 289 N. Fireweed Street, Suite C, Soldotna, AK 99669-7540 | 2009-05-18 |
| 1336362557 | Carole Buchholz | Pediatrics | 44455 Sterling Hwy, Soldotna, AK 99669-7936 | 2007-04-10 |
| 1548299274 | Rachel V Walden | Pediatrics | 245 N Binkley St, Suite 101, Soldotna, AK 99669-7500 | 2006-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629543046 | Pacific Pediatrics, LLC | Pediatrics | 63 Higgins Spur, Ketchikan, AK 99901-9442 | 2018-10-11 |
| 1780195727 | Amanda Kathleen Dunlap | Pediatrics | 3340 Providence Dr Ste A-452, Anchorage, AK 99508-4691 | 2017-10-17 |
| 1841663945 | Jennifer Elisabeth Austin | Pediatrics | 751 E 36th Ave Ste 100, Anchorage, AK 99503 | 2015-11-11 |
| 1295112159 | Jacob Eby | Pediatrics | 673 Mdg 5955 Zeamer Ave, Jber, AK 99506 | 2015-04-29 |
| 1821409137 | Denise Frohlich Jones | Pediatrics | Alaska Neonatology Assoc, 3340 Providence Dr. Suite 366, Anchorage, AK 99508 | 2014-05-08 |
| 1780003376 | Carolyn Roloff | Pediatrics | 3200 Providence Dr Fl 3, Anchorage, AK 99508 | 2014-04-10 |
| 1154755056 | Begich School Based Health Center | Pediatrics | 7440 Creekside Center Dr, Anchorage, AK 99504-5234 | 2013-08-27 |
| 1710262175 | Anchorage School Based Health Centers | Pediatrics | 150 Bragaw St, Anchorage, AK 99508-1307 | 2011-10-18 |
| 1164719423 | Scott Edward Stewart | Pediatrics | 673rd Mdg, 5955 Zeamer Ave, Jber, AK 99506 | 2011-07-06 |
| 1003142621 | Mat-su Community Pediatrics, P.C. | Pediatrics | 3750 E. Country Field Circle, Suite C, Wasilla, AK 99654 | 2009-11-02 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MR. ALEXANDER BREVARD RUSSELL, JR.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.