Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. RUSSELL S MEDBERY JR.
NPI 1104860964
Advanced Practice Midwife in Manchester, CT

Active since June 15, 2006
360 TOLLAND TPKE, SUITE 3B, MANCHESTER, CT 06042(860) 646-1157(860) 646-9877 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Russell S Medbery Jr. NPPES

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

MR. RUSSELL S MEDBERY JR. (NPI 1104860964) is an individual advanced practice midwife in Manchester, Connecticut, licensed in Connecticut (000040) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1104860964
Entity TypeIndividualMale
Primary Taxonomy367A00000X
Provider Legal NameMR. RUSSELL S MEDBERY JR.
Location Address360 TOLLAND TPKE, SUITE 3BManchester, CT 06042-1771
Mailing Address360 Tolland Tpke, Suite 3bManchester, CT 06042-1771 · (860) 646-1157 · Fax (860) 646-9877
Fax(860) 646-9877
Sole ProprietorNo
Enumeration DateJune 15, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1104860964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
License Licensed in CT · 000040
Definition
Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.
360 TOLLAND TPKE, Manchester, CT 06042

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.

Dentist (General Practice)
360 TOLLAND TPKE, SUITE 2B
MANCHESTER, CT 06042
Physical Therapist
360 TOLLAND TPKE, SUITE 2E
MANCHESTER, CT 06042
Physician Assistant
360 TOLLAND TPKE, 3C
MANCHESTER, CT 06042
Social Worker (Clinical)
360 TOLLAND TPKE
MANCHESTER, CT 06042
Obstetrics & Gynecology
360 TOLLAND TPKE, SUITE 3B
MANCHESTER, CT 06042
Physician Assistant (Medical)
360 TOLLAND TPKE, SUITE 1E
MANCHESTER, CT 06042
Orthopaedic Surgery (Sports Medicine)
360 TOLLAND TPKE, SUITE 3-C
MANCHESTER, CT 06042
Otolaryngology
360 TOLLAND TPKE, 1E
MANCHESTER, CT 06042

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 Russell Medbery's NPI number?

The NPI number for Russell Medbery is 1104860964. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Where is Russell Medbery located?

Russell Medbery practices at 360 Tolland Tpke Suite 3B, Manchester, CT 06042. The listed phone number is (860) 646-1157.

What is Russell Medbery's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

When was this NPI record last updated?

The NPPES record for Russell Medbery was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.