DR. BRETT RUSSELL MD
NPI 1275042384
Pediatrics - Pediatric Critical Care Medicine in Jacksonville, FL

Active since September 21, 2017PECOS Enrolled
807 CHILDRENS WAY, JACKSONVILLE, FL 32207(904) 697-3600 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 10, 2021, Jun 3, 2021, Mar 23, 2018 and 1 more (4 updates tracked since 2017).

About Dr. Brett Russell Md NPPES

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

DR. BRETT RUSSELL MD (NPI 1275042384) is an individual pediatric critical care medicine provider in Jacksonville, Florida, licensed in Florida (ME176643) and active in the NPI registry since September 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275042384
Entity TypeIndividualMale
Primary Taxonomy2080P0203X
Provider Legal NameDR. BRETT RUSSELLCredential: MD
Location Address807 CHILDRENS WAYJacksonville, FL 32207-8426
Mailing Address807 Childrens WayJacksonville, FL 32207-8426 · (904) 697-3600
Sole ProprietorNo
Enumeration DateSeptember 21, 2017
Last NPPES UpdateJune 17, 20264 updates tracked since enumeration
NPPES CertifiedJune 17, 2026
✔ NPI 1275042384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License✔ Licensed in FL · ME176643
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
807 CHILDRENS WAY, Jacksonville, FL 32207

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Brett Russell Md 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Brett Russell reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medical Services
110 IRVING ST NW
Washington, DC 20010
  • Reassigned Medicare billing, District of Columbia and Maryland enrollments
  • Medicare enrollment name: Whc Physician Group LLC
  • Also billed through NPI 1700154226 (Maryland)
  • 613 clinicians in this Medicare group
Emergency Medicine
9901 MEDICAL CENTER DR
Rockville, MD 20850
  • Reassigned Medicare billing, Maryland enrollment
  • 301 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Pediatrics
807 CHILDRENS WAY
JACKSONVILLE, FL 32207
Physician Assistant
807 CHILDRENS WAY
JACKSONVILLE, FL 32207
Physician Assistant
807 CHILDRENS WAY, NEMOURS CHILDRENS CLINIC, JACKSONVILLE
JACKSONVILLE, FL 32207
Pharmacist
807 CHILDRENS WAY
JACKSONVILLE, FL 32207
Nurse Practitioner
807 CHILDRENS WAY
JACKSONVILLE, FL 32207
Otolaryngology (Pediatric Otolaryngology)
807 CHILDRENS WAY, NEMOURS CHILDRENS CLINIC, JACKSONVILLE
JACKSONVILLE, FL 32207
Nurse Practitioner
807 CHILDRENS WAY
JACKSONVILLE, FL 32207
Speech-Language Pathologist
807 CHILDRENS WAY
JACKSONVILLE, FL 32207

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 Brett Russell's NPI number?

The NPI number for Brett Russell is 1275042384. It was assigned to this individual provider in the NPPES registry on September 21, 2017.

Where is Brett Russell located?

Brett Russell practices at 807 Childrens Way, Jacksonville, FL 32207. The listed phone number is (904) 697-3600.

What is Brett Russell's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Brett Russell enrolled in Medicare?

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

Which organizations bill Medicare for Brett Russell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brett Russell reassigns Medicare benefits to 2 organizations: Whc Emerg Phys (Washington, DC) and Mep Health, LLC (Rockville, MD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brett Russell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brett Russell accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan list Brett Russell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brett Russell was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.