MR. BRENT CHARLES RUSSELL P.A.-C.
NPI 1255412318
Physician Assistant - Medical in Sterling Heights, MI

NPI Status: Active since October 17, 2006

Contact Information

43145 SCHOENHERR RD
STERLING HEIGHTS, MI
ZIP 48313
Phone: (589) 997-5048
Fax: (589) 997-5049

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  • Individual
  • Male
  • Physician Assistant
  • Medical
  • PECOS Enrolled

About BRENT RUSSELL

This page provides the complete NPI Profile along with additional information for Brent Russell, a primary care provider established in Sterling Heights, Michigan with a medical specialization in Physician Assistant, focusing in medical . The healthcare provider is registered in the NPI registry with number 1255412318 assigned on October 2006. The practitioner's primary taxonomy code is 363AM0700X with license number 50-00-0863 (OH). The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI
1255412318
Provider Name
MR. BRENT CHARLES RUSSELL P.A.-C.
Gender
Male
Entity Type
Individual
Location Address
43145 SCHOENHERR RD STERLING HEIGHTS, MI 48313
Location Phone
(589) 997-5048
Location Fax
(589) 997-5049
Mailing Address
12685 HIGHLAND RD HARTLAND, MI 48353
Mailing Phone
(419) 865-4448
Is Sole Proprietor?
Yes
Enumeration Date
10-17-2006
Last Update Date
03-07-2023
Code Navigator

A primary care provider (PCP) like Brent Russell sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Medical

Taxonomy Code
363AM0700X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
50-00-0863
License State
OH

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363AM0700XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant
Medical

5601002647 (MI)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
55.000448OTHER (01)OHCERTIFICATE TO PRESCRIBE
5601002647OTHER (01)MIPAIN MANAGEMENT

Medicare Participation & PECOS Enrollment Status

Brent Russell is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1255412318, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
5
Unchanged
Pos 5
4
Doubled → 8
Pos 6
1
Unchanged
Pos 7
2
Doubled → 4
Pos 8
3
Unchanged
Pos 9
1
Doubled → 2
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 4 → 8 2 → 4 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 0 + 5 + 8 + 1 + 4 + 3 + 2 + 24 = 52

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 52 is 60. The difference is the calculated check digit.

60 - 52 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1255412318.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Pain Medicine (Interventional Pain Medicine)
43145 SCHOENHERR RD, UNIT #13
STERLING HEIGHTS, MI 48313
Physician Assistant
43145 SCHOENHERR RD, SUITE 200
STERLING HEIGHTS, MI 48313
Nurse Practitioner (Family)
43145 SCHOENHERR RD
STERLING HEIGHTS, MI 48313
Pain Medicine (Interventional Pain Medicine)
43145 SCHOENHERR RD, UNIT #13
STERLING HEIGHTS, MI 48313

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255412318, enumerated as an "individual" on October 17, 2006.

The provider is located at 43145 SCHOENHERR RD STERLING HEIGHTS, MI 48313 and the phone number is (589) 997-5048.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.