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DEIDRE J. RUSSELL, M.D.,LLC
NPI 1003863846
Specialist in Selma, AL

Active since May 27, 2006
203 VAUGHAN MEMORIAL DR, SELMA, AL 36701(334) 875-2134(334) 875-4331 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Deidre J. Russell, M.d.,llc NPPES

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

DEIDRE J. RUSSELL, M.D.,LLC (NPI 1003863846) is a healthcare organization registered as a specialist in Selma, Alabama and active in the NPI registry since May 2006. The organization lists Deidre Russell, Physician, as its authorized official.

NPPES Registry Identity

NPI1003863846
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameDEIDRE J. RUSSELL, M.D.,LLC
Location Address203 VAUGHAN MEMORIAL DRSelma, AL 36701-6950
Mailing AddressPo Box 1470Selma, AL 36702-1470 · (334) 875-2134 · Fax (334) 875-4331
Phone(334) 875-2134
Fax(334) 875-4331
Organization SubpartNo
Authorized OfficialDeidre RussellPhysician · (334) 875-2134
Enumeration DateMay 27, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1003863846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in AL · 00019979
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

203 VAUGHAN MEMORIAL DR, Selma, AL 36701
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Other Identifiers 1

Other09475AL · Blue Cross Blue Shield

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

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

TAMARAH MASON CRNP
Nurse Practitioner (Family)
203 VAUGHAN MEMORIAL DR
SELMA, AL 36701
Dallas County (334) 375-8007
HELEN KATHERINE FANCHER CRNP
Nurse Practitioner (Family)
203 VAUGHAN MEMORIAL DR
SELMA, AL 36701
Dallas County (334) 375-8007
SELMA WOMEN'S HEALTH, LLC
Specialist
203 VAUGHAN MEMORIAL DR
SELMA, AL 36701
Dallas County (334) 874-3633
MARJORIE ELLEN MITCHELL
Nurse Practitioner (Family)
203 VAUGHAN MEMORIAL DR
SELMA, AL 36701
Dallas County (334) 219-6711
TURNING LEAF MEDICAL, INC.
Obstetrics & Gynecology
203 VAUGHAN MEMORIAL DR
SELMA, AL 36701
Dallas County (334) 875-2134
LAUREN WENDLAND NP
Nurse Practitioner (Primary Care)
203 VAUGHAN MEMORIAL DR
SELMA, AL 36701
Dallas County (334) 375-8007
DR. SEAN BRIAN BOHANNON M.D.
Family Medicine
203 VAUGHAN MEMORIAL DR
SELMA, AL 36701
Dallas County (334) 375-8007
W. C. DEAVOR, M.D.,P.C.
Specialist
203 VAUGHAN MEMORIAL DR
SELMA, AL 36701
Dallas County (334) 875-2134

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Deidre J. Russell, M.D.,llc's NPI number?

The NPI number for Deidre J. Russell, M.D.,llc is 1003863846. It was assigned to this organization in the NPPES registry on May 27, 2006.

Where is Deidre J. Russell, M.D.,llc located?

Deidre J. Russell, M.D.,llc is located at 203 Vaughan Memorial Dr, Selma, AL 36701. The listed phone number is (334) 875-2134.

What is Deidre J. Russell, M.D.,llc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Deidre J. Russell, M.D.,llc was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.