MEDICARE: RUSSELL B BRANUM MD

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
1	207RR0500X	Rheumatology Physician	E3265	AR

General Provider Information

NPI Number	:	1629065685
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RUSSELL B BRANUM MD

Provider Business Mailing Address
First Line	:	PO BOX 11436
Second Line	:
City	:	FORT SMITH
State	:	AR
Zip	:	72917-1436
Country	:	US
Telephone Number	:	479-755-6900
Fax Number	:	479-755-6903

Provider Business Practice Location Address
First Line	:	1501 S WALDRON RD
Second Line	:	STE 202
City	:	FORT SMITH
State	:	AR
Zip	:	72903-2574
Country	:	US
Telephone Number	:	479-755-6900
Fax Number	:	479-755-6903

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/04/2005
Last Update Date	:	04/17/2014

Similar Medicare Providers

1144035684 — EMMA ROGERS COTA/L
Practice Location Address:

1501 S WALDRON RD STE 7
FORT SMITH, AR
72903-2574

Practice Phone: 479-329-1471
Practice Fax:

1174510085 — MANAR S IBRAHIM MD
Practice Location Address:

1501 S WALDRON RD , STE 100
FORT SMITH, AR
72903-2574

Practice Phone: 479-709-7337
Practice Fax: 479-709-7461

1306833215 — CYNTHIA K ASHCRAFT MD
Practice Location Address:

1501 S WALDRON RD , STE 100
FORT SMITH, AR
72903-2574

Practice Phone: 479-709-7337
Practice Fax: 479-709-7461

1811985187 — CSABA KISS MD
Practice Location Address:

1501 S WALDRON RD , STE 100
FORT SMITH, AR
72903-2574

Practice Phone: 479-709-7310
Practice Fax: 479-709-7315

1891779674 — RANATA L HATCHER APN
Practice Location Address:

1501 S WALDRON RD , STE 100
FORT SMITH, AR
72903-2574

Practice Phone: 479-709-7337
Practice Fax: 479-709-7461

1932166139 — DR. JAMES LAWRENCE LEE JR. D.D.S.
Practice Location Address:

1501 S WALDRON RD
FORT SMITH, AR
72903-2574

Practice Phone: 479-452-8650
Practice Fax:

Directions to “ RUSSELL B BRANUM MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.