MEDICARE: DR. RUSSELL J PROCTOR 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	207RS0012X	Sleep Medicine (Internal Medicine) Physician	18875	AL
2	207RP1001X	Pulmonary Disease Physician	18875	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1962511790
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RUSSELL J PROCTOR MD

Provider Business Mailing Address
First Line	:	PO BOX 689022
Second Line	:
City	:	FRANKLIN
State	:	TN
Zip	:	37068-9022
Country	:	US
Telephone Number	:	615-465-7390
Fax Number	:	615-628-6877

Provider Business Practice Location Address
First Line	:	25908 CANAL RD STE D
Second Line	:
City	:	ORANGE BEACH
State	:	AL
Zip	:	36561-5015
Country	:	US
Telephone Number	:	251-952-6653
Fax Number	:	844-204-4753

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

Provider Enumeration Date	:	08/29/2006
Last Update Date	:	08/06/2025

Similar Medicare Providers

1174798433 — ORANGE COUNTY NEWBORN MEDICARE CARE PC
Practice Location Address:

3 SAINT STEPHENS PL , SUITE 2
WARWICK, NY
10990-3208

Practice Phone: 845-987-9700
Practice Fax:

1407206675 — DR. JUSTIN DEAVERS M.D.
Practice Location Address:

25908 CANAL RD STE E
ORANGE BEACH, AL
36561-5015

Practice Phone: 251-677-6830
Practice Fax: 251-677-6839

1164249439 — MS. DEBRA LYNN YATES FNP-C
Practice Location Address:

25908 CANAL RD STE D
ORANGE BEACH, AL
36561-5015

Practice Phone: 251-981-2184
Practice Fax:

1306813498 — ROBERT A BUCCIERE LCSW
Practice Location Address:

510 HAMLET AVE
CAROLINA BEACH, NC
28428-5015

Practice Phone: 801-923-2075
Practice Fax:

1154384121 — TOTAL RENAL CARE INC
Practice Location Address:

3111 LONG BEACH BLVD
LONG BEACH, CA
90807-5015

Practice Phone: 562-426-5155
Practice Fax: 562-426-5007

1659478568 — MS. JESSICA JONES ST.CLAIR MFT
Practice Location Address:

5015 BIRCH ST
NEWPORT BEACH, CA
92660-2162

Practice Phone: 714-227-2420
Practice Fax: 714-568-1111

Directions to “ DR. RUSSELL J PROCTOR 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 © 2007-2025 (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.