RUSSELL W BROWN II PA-C
NPI 1003920034
Physician Assistant - Medical in Murphysboro, IL

Q: What is Russell Brown's NPI number?

The NPI number for Russell Brown is 1003920034. It was assigned to this individual provider in the NPPES registry on August 18, 2006.

Q: What is Russell Brown's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Russell Brown was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 18, 2006

7 S HOSPITAL DR, MURPHYSBORO, IL 62966(618) 519-9200(618) 687-1859 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Sep 14, 2017 (2 updates tracked since 2017).

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About Russell W Brown Ii Pa-c NPPES

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

RUSSELL W BROWN II PA-C (NPI 1003920034) is an individual medical provider in Murphysboro, Illinois, licensed in Illinois (085002271) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1003920034

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameRUSSELL W BROWN IICredential: PA-C

Location Address7 S HOSPITAL DRMurphysboro, IL 62966-3333

Mailing Address109 California St, Po Box 577Carterville, IL 62918-0577 · (618) 519-9200 · Fax (618) 985-4635

Phone(618) 519-9200

Fax(618) 687-1859

Sole ProprietorNo

Enumeration DateAugust 18, 2006

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1003920034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in IL · 085002271

7 S HOSPITAL DR, Murphysboro, IL 62966

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Other Identifiers 5

Medicaid143870IL

Other080129117Bcbs

Other10019630Railroad Medicare

Other174143Health Link

Other043448Health Alliance

Other Providers at the Same Location NPPES 18

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

SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP

Pharmacy (Community/Retail Pharmacy)