DR. RUSSEL JEROME LEGREID II M.D.
NPI 1407897978
Specialist in Bluffton, IN

Active since June 08, 2006
1026 S MAIN ST, BLUFFTON, IN 46714(260) 353-2023(260) 824-7244 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Sep 20, 2017 (3 updates tracked since 2017).

About Dr. Russel Jerome Legreid Ii M.d. NPPES

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

DR. RUSSEL JEROME LEGREID II M.D. (NPI 1407897978) is an individual specialist in Bluffton, Indiana, licensed in Indiana (01074428A) and active in the NPI registry since June 2006. He maintains a secondary practice location in Bluffton.

NPPES Registry Identity

NPI1407897978
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. RUSSEL JEROME LEGREID IICredential: M.D.
Location Address1026 S MAIN STBluffton, IN 46714-3614
Mailing Address6920 Pointe Inverness Way Ste 200Fort Wayne, IN 46804-7934 · (260) 479-3513 · Fax (260) 479-3520
Fax(260) 824-7244
Sole ProprietorNo
Enumeration DateJune 8, 2006
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPI 1407897978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Licenses Licensed in IN · 01074428A Licensed in TN · 39319
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1026 S MAIN ST, Bluffton, IN 46714

Secondary Practice Location 1

Location 1100 W Horton StBluffton, IN 46714-3607 · Phone (260) 824-0800 · Fax (260) 824-7243

Other Identifiers 2

Medicaid1407897978WI
Medicaid201250850IN

Other Providers at the Same Location NPPES 4

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

Obstetrics & Gynecology
1026 S MAIN ST
BLUFFTON, IN 46714
Family Medicine
1026 S MAIN ST
BLUFFTON, IN 46714
Internal Medicine
1026 S MAIN ST
BLUFFTON, IN 46714
Nurse Practitioner (Psychiatric/Mental Health)
1026 S MAIN ST
BLUFFTON, IN 46714

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407897978, enumerated as an "individual" on June 08, 2006.

The provider is located at 1026 S MAIN ST BLUFFTON, IN 46714 and the phone number is (260) 353-2023.

Specialist with taxonomy code 174400000X.

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