BRYAN CLINT RUSSELL
NPI 1407320260
Physical Medicine & Rehabilitation in Coronado, CA
About Bryan Clint Russell NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRYAN CLINT RUSSELL (NPI 1407320260) is an individual physical medicine & rehabilitation provider in Coronado, California, licensed in California (PT295117) and active in the NPI registry since January 2019. He is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Bryan Clint Russell is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Bryan Russell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Coronado, CA 92118
- Reassigned Medicare billing, California enrollment
- 4 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 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Bryan Russell's NPI number?
The NPI number for Bryan Russell is 1407320260. It was assigned to this individual provider in the NPPES registry on January 15, 2019.
Where is Bryan Russell located?
Bryan Russell practices at 160 C Ave, Coronado, CA 92118. The listed phone number is (619) 319-5992.
What is Bryan Russell's specialty?
The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.
Is Bryan Russell enrolled in Medicare?
Yes. Bryan Russell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Bryan Russell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bryan Russell reassigns Medicare benefits to One Life Physical Therapy Inc (Coronado, CA). The 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 Bryan Russell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Bryan Russell was last updated on January 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.