BRAD C RUSSELL (NPI# 1487696415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487696415 |
| Entity Type | Individual |
| Full Name | BRAD C RUSSELL |
| Credential | P.A. |
| Practice Address |
520 Upper Chesapeake Dr Suite 306 Bel Air MD 21014-4339 |
| Practice Telephone | 4108792006 |
| Practice Fax Number | 4108790248 |
| Mailing Telephone | 4108792006 |
| Mailing Fax Number | 4108790248 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2014-06-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
C0003144 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073667499 | Brad Franklin Russell | Chiropractor | 3153 Cahaba Heights Rd, Birmingham, AL 35243-5246 | 2007-01-23 |
| 1245387109 | Brad Russell | Emergency Medicine | 2000 Church Street, Emergency Dept, Nashville, TN 37236 | 2007-01-04 |
| Street Address |
520 UPPER CHESAPEAKE DR SUITE 306 |
| City | BEL AIR |
| State | MD |
| Zip Code | 21014-4339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780687996 | Scott A Steinmetz | Surgery | 520 Upper Chesapeake Dr, Ste 412, Bel Air, MD 21014-4381 | 2005-05-23 |
| 1316481559 | Laura Sibiski | Counselor | 520 Upper Chesapeake Dr, Suite 304, Bel Air, MD 21014-4339 | 2016-12-07 |
| 1346783339 | Ashley Addiction Treatment | Counselor | 520 Upper Chesapeake Dr, Suite 304, Bel Air, MD 21014-4339 | 2016-11-23 |
| 1578010617 | Infectious Disease Associates LLC | Clinic/Center | 520 Upper Chesapeake Dr, Suite 312, Bel Air, MD 21014-4339 | 2016-09-07 |
| 1316306277 | Mary Wince | Nurse Practitioner | 520 Upper Chesapeake Dr, Suite 308, Bel Air, MD 21014-4339 | 2016-02-19 |
| 1427435692 | Leonardo Girio-herrera, D.o., L.L.C. | Internal Medicine | 520 Upper Chesapeake Dr, 312, Bel Air, MD 21014-4339 | 2015-04-27 |
| 1679964688 | David Stewart | Nurse Practitioner | 520 Upper Chesapeake Dr, Bel Air, MD 21014-4339 | 2015-02-12 |
| 1235520255 | Ashley, Inc. | Counselor | 520 Upper Chesapeake Dr, Suite 304, Bel Air, MD 21014-4339 | 2015-02-12 |
| 1154726362 | Robert N Dougherty | Physician Assistant | 520 Upper Chesapeake Dr, Suite 306, Bel Air, MD 21014-4339 | 2014-10-30 |
| 1851705230 | Katherine Peitsch | Audiologist | 520 Upper Chesapeake Dr, Suite 206, Bel Air, MD 21014-4339 | 2014-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932757713 | Rebecca Gavin | Social Worker | 221 Maitland St Ste 204, Bel Air, MD 21014 | 2019-08-26 |
| 1790348563 | Iql Behavioral Health Services LLC | Community/Behavioral Health | 1003 Red Pump Road, Bel Air, MD 21014 | 2019-04-17 |
| 1700355351 | Barbara Ann Melton-jones | Counselor | 120 S. Hays St., Bel Air, MD 21014 | 2018-11-13 |
| 1306327945 | Donald David Fleming | Counselor | Dave Fleming, 418 S Main Street, Bel Air, MD 21014 | 2018-08-22 |
| 1003396847 | Michael Smith, Dpt LLC | Physical Therapist | 10 South Hays Street, Bel Air, MD 21014 | 2018-08-21 |
| 1467942987 | The Caring Connection, Inc | Adult Companion | 304 Vale Road, Bel Air, MD 21014 | 2018-05-10 |
| 1194220376 | Mc Counseling Inc | Social Worker | 336 S. Main Street, Suite 2 C-a, Bel Air, MD 21014 | 2018-03-28 |
| 1861997678 | Harford X-ray Services LLC | Radiology | 615 W Macphail Rd Ste 106b, Bel Air, MD 21014 | 2018-03-26 |
| 1386143964 | Lucy Huiyu Tong | Nurse Practitioner | Potomac Physicians, 104 Plumtree Road, Bel Air, MD 21014 | 2018-02-08 |
| 1124561238 | Children's National Health System | Chronic Disease Hospital | 914 Cheswold Court, Bel Air, MD 21014 | 2016-11-21 |
| Find all providers in zip 21014 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003448606 | Upper Chesapeake Surgical Associates, LLC | Physician Assistant | 500 Upper Chesapeake Dr, Bel Air, MD 21014-4324 | 2020-02-11 |
| 1326519851 | Shelby Elise Norris | Physician Assistant | 520 Upper Chesapeake Dr Ste 306, Bel Air, MD 21014-4375 | 2018-12-10 |
| 1336642586 | Kaylie Gonze | Physician Assistant | 520 Upper Chesapeake Dr Ste 306, Bel Air, MD 21014-4375 | 2018-03-14 |
| 1093052870 | Erin B Boyce | Physician Assistant | 520 Upper Chesapeake Dr Ste 412, Bel Air, MD 21014-4381 | 2013-01-14 |
| 1639425473 | Anna Morgan Snow Suarez | Physician Assistant | 520 Upper Chesapeake Dr Ste 306, Bel Air, MD 21014-4375 | 2012-07-31 |
| 1962727248 | Dinkar Dholakia | Physician Assistant | 500 Upper Chesapeake Drive, Upper Chesapeake Medical Center, Bel Air, MD 21014 | 2010-03-30 |
| 1891025631 | Maryland Surgical Assistants | Physician Assistant | 615 W Macphail Rd, Suite 210, Bel Air, MD 21014-4309 | 2009-12-29 |
| 1104065473 | Donghua Wang | Physician Assistant | 510 Upper Chesapeake Dr, Suite 417, Bel Air, MD 21014-4328 | 2009-02-11 |
| 1639234180 | Jennifer L. Burton | Physician Assistant | 520 Upper Chesapeake Dr, Suite 306, Bel Air, MD 21014-4339 | 2006-12-26 |
| 1053373969 | Bradford H Houck | Physician Assistant | 520 Upper Chesapeake Dr, Suite 306, Bel Air, MD 21014-4339 | 2006-04-05 |
| Find all providers in BEL AIR | ||||
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| 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.