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NPI Code Detail

MEDICARE: BRAD FRANKLIN RUSSELL D.C.

MEDICARE:   BRAD FRANKLIN RUSSELL  D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor2028AL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12469291OTHERALCIGNA
251518640RUSOTHERALBCBSAL

General Provider Information

NPI Number : 1073667499
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRAD FRANKLIN RUSSELL D.C.
Provider Business Mailing Address
First Line : 3153 CAHABA HEIGHTS RD
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35243-5246
Country : US
Telephone Number : 205-967-0280
Fax Number :
Provider Business Practice Location Address
First Line : 3153 CAHABA HEIGHTS RD
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35243-5246
Country : US
Telephone Number : 205-967-0280
Fax Number : 205-967-0408
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2007
Last Update Date : 06/28/2022

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Directions to “ BRAD FRANKLIN RUSSELL D.C.” Practice Location

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