BRYAN CLINT RUSSELL
NPI 1407320260
Physical Medicine & Rehabilitation in Coronado, CA

Active since January 15, 2019Accepts Medicare Assignment

NPPES record last updated: January 15, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1407320260
Entity TypeIndividualMale
Primary Taxonomy208100000X
Provider Legal NameBRYAN CLINT RUSSELL
Location Address160 C AVECoronado, CA 92118-1420
Mailing Address6621 Archwood AveSan Diego, CA 92120-2401 · (619) 319-5992
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJanuary 15, 2019
NPI 1407320260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
License Licensed in CA · PT295117
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
160 C AVE, Coronado, CA 92118

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID2668902859
PECOS Enrollment IDI20250203002414

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.

Clinic/Center (Physical Therapy)
160 C AVE
CORONADO, CA 92118
Physical Therapist
160 C AVE
CORONADO, CA 92118

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.

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.