BRETT LANE RUSSELL
NPI 1003794256
Student in an Organized Health Care Education/Training Program in Evansville, IN

Active since August 25, 2025
515 WALNUT ST, EVANSVILLE, IN 47708(812) 909-7200 Get Directions Write a Review

NPPES record last updated: August 25, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Brett Lane Russell NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRETT LANE RUSSELL (NPI 1003794256) is an individual student in an organized health care education/training program in Evansville, Indiana and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1003794256
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBRETT LANE RUSSELL
Location Address515 WALNUT STEvansville, IN 47708-1621
Mailing Address704 Table RockEvansville, IN 47712-3160 · (580) 278-5556
Sole ProprietorNo
Enumeration DateAugust 25, 2025
NPPES CertifiedAugust 25, 2025
NPI 1003794256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

515 WALNUT ST, Evansville, IN 47708

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
515 WALNUT ST
EVANSVILLE, IN 47708
Student in an Organized Health Care Education/Training Program
515 WALNUT ST
EVANSVILLE, IN 47708
Student in an Organized Health Care Education/Training Program
515 WALNUT ST
EVANSVILLE, IN 47708
Student in an Organized Health Care Education/Training Program
515 WALNUT ST
EVANSVILLE, IN 47708
Student in an Organized Health Care Education/Training Program
515 WALNUT ST
EVANSVILLE, IN 47708
Student in an Organized Health Care Education/Training Program
515 WALNUT ST
EVANSVILLE, IN 47708
Student in an Organized Health Care Education/Training Program
515 WALNUT ST
EVANSVILLE, IN 47708
Student in an Organized Health Care Education/Training Program
515 WALNUT ST
EVANSVILLE, IN 47708

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003794256, enumerated as an "individual" on August 25, 2025.

The provider is located at 515 WALNUT ST EVANSVILLE, IN 47708 and the phone number is (812) 909-7200.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.