BERNADITH RUSSELL, MD, PC
NPI 1063685667
Specialist in New York, NY

Active since April 04, 2008
430 W BROADWAY, 2ND FLOOR, NEW YORK, NY 10012(212) 941-0011(212) 941-5977 Get Directions Write a Review

NPPES record last updated: April 29, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Bernadith Russell, Md, Pc NPPES

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

BERNADITH RUSSELL, MD, PC (NPI 1063685667) is a healthcare organization registered as a specialist in New York, New York and active in the NPI registry since April 2008. The organization lists Bernadith Russell, Owner, as its authorized official.

NPPES Registry Identity

NPI1063685667
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameBERNADITH RUSSELL, MD, PC
Location Address430 W BROADWAY, 2ND FLOORNew York, NY 10012-3784
Mailing Address430 W Broadway, 2nd FloorNew York, NY 10012-3784 · (212) 941-0011 · Fax (212) 941-5977
Fax(212) 941-5977
Organization SubpartNo
Authorized OfficialBernadith RussellOwner · (646) 246-2936
Enumeration DateApril 4, 2008
Last NPPES UpdateApril 29, 2008
NPI 1063685667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in NY · 223267
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.

430 W BROADWAY, New York, NY 10012

Other Identifiers 3

Medicare PIN518E41NY
Medicare UPINH54346
Medicaid02202784NY

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 3

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

Physician Assistant
430 W BROADWAY, 2ND FL
NEW YORK, NY 10012
Obstetrics & Gynecology (Gynecology)
430 W BROADWAY, 2ND FLOOR
NEW YORK, NY 10012
Chiropractor
430 W BROADWAY, 2ND FLOOR
NEW YORK, NY 10012

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 Bernadith Russell, MD, PC's NPI number?

The NPI number for Bernadith Russell, MD, PC is 1063685667. It was assigned to this organization in the NPPES registry on April 4, 2008.

Where is Bernadith Russell, MD, PC located?

Bernadith Russell, MD, PC is located at 430 W Broadway 2nd Floor, New York, NY 10012. The listed phone number is (212) 941-0011.

What is Bernadith Russell, MD, PC'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 Bernadith Russell, MD, PC was last updated on April 29, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.