Mr. Alexander Brevard Russell, Jr
MD | Pediatrics | Male
Mr. Alexander Brevard Russell, Jr, MD is a Soldotna, Alaska based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Mr. Alexander Brevard Russell, Jr is
245 N Binkley St, Suite 101, Soldotna, Alaska - 99669-7500. He can be contacted on phone at
907-714-4111 and fax number 844-912-3953.
Mr. Alexander Brevard Russell, Jr is a sole proprietor of his business.
NPI number (Unique professional ID) for Mr. Alexander Brevard Russell, Jr is
1093787988 which was assigned by NPPES on 03 Feb, 2006 and it was last updated on 17 Jul, 2020.
Mr. Alexander Brevard Russell, Jr license number is
786 for Pediatrics (208000000X) in Alaska.
Mr. Alexander Brevard Russell, Jr is a pediatrician who 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.
Complete Profile:
Mr. Alexander Brevard Russell, Jr basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Mr. Alexander Brevard Russell, Jr |
|---|
| Credential : | MD |
|---|
| Gender : | Male |
|---|
Business Address:
Mr. Alexander Brevard Russell, Jr address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 245 N Binkley St, Suite 101
Soldotna, AK, 99669-7500
United States |
|---|
| Phone Number : | 907-714-4111 |
|---|
| Fax Number : | 844-912-3953 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1093787988 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 03 Feb, 2006 |
|---|
| Last Updated On : | 17 Jul, 2020 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Alexander Brevard Russell, Jr are as mentioned. Primary taxonomy code for Mr. Alexander Brevard Russell, Jr, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 786 | AK |
| 208000000X | Pediatrics | No | 010653 | GA |
Legacy Identifiers:
Other legacy medical identifiers of Mr. Alexander Brevard Russell, Jr such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| MD0786 | MEDICAID | AK | |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | arussell635741@ak.providencedirect.org
Provider direct messaging address | No affiliation |
|
| 245 N BINKLEY ST, SUITE 101
SOLDOTNA, AK, 99669-7500
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 245 N Binkley St, Suite 101
Soldotna, AK, 99669-7500
United States |
|---|
| Phone Number : | 907-714-4112 |
|---|
| Fax Number : | 907-262-2821 |
|---|
Business Location:
Patients can refer following map for directions to
Mr. Alexander Brevard Russell, Jr practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.