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MAXWELL TAYLOR RUSSELL DO
NPI 1255181871
Student in an Organized Health Care Education/Training Program in Downey, CA

Active since March 26, 2024PECOS Enrolled
11500 BROOKSHIRE AVE, GME OFFICE, DOWNEY, CA 90241(562) 904-5374 Get Directions Write a Review

NPPES record last updated: March 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Maxwell Taylor Russell Do NPPES

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

MAXWELL TAYLOR RUSSELL DO (NPI 1255181871) is an individual student in an organized health care education/training program in Downey, California and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255181871
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMAXWELL TAYLOR RUSSELLCredential: DO
Location Address11500 BROOKSHIRE AVE, GME OFFICEDowney, CA 90241-4917
Mailing Address11500 Brookshire Ave, Gme OfficeDowney, CA 90241-4917
Phone(562) 904-5374
Sole ProprietorNo
Enumeration DateMarch 26, 2024
NPPES CertifiedMarch 18, 2024
✔ NPI 1255181871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.
11500 BROOKSHIRE AVE, GME OFFICE, Downey, CA 90241
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maxwell Taylor Russell Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

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

PATRICIA LEE
Student in an Organized Health Care Education/Training Program
11500 BROOKSHIRE AVE, GME OFFICE
DOWNEY, CA 90241
Los Angeles County (626) 384-6442

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 Maxwell Russell's NPI number?

The NPI number for Maxwell Russell is 1255181871. It was assigned to this individual provider in the NPPES registry on March 26, 2024.

Where is Maxwell Russell located?

Maxwell Russell practices at 11500 Brookshire Ave, Gme Office, Downey, CA 90241. The listed phone number is (562) 904-5374.

What is Maxwell Russell's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Maxwell Russell enrolled in Medicare?

Yes. Maxwell Russell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Maxwell Russell was last updated on March 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.