Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. CHARLES BYROM RUSSEY MD
NPI 1437141041
Family Medicine in Southlake, TX

Active since August 19, 2005
480 W SOUTHLAKE BLVD, STE 115, SOUTHLAKE, TX 76092(817) 416-2221(817) 424-5400 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Charles Byrom Russey Md NPPES

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

MR. CHARLES BYROM RUSSEY MD (NPI 1437141041) is an individual family medicine provider in Southlake, Texas, licensed in Texas (K2373) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1437141041
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMR. CHARLES BYROM RUSSEYCredential: MD
Location Address480 W SOUTHLAKE BLVD, STE 115Southlake, TX 76092-6162
Mailing Address480 W Southlake Blvd, Ste 115Southlake, TX 76092-6162 · (817) 416-2221 · Fax (817) 424-5400
Fax(817) 424-5400
Sole ProprietorNo
Enumeration DateAugust 19, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1437141041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TX · K2373
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
480 W SOUTHLAKE BLVD, Southlake, TX 76092

Accepted Insurance

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.

Pediatrics
480 W SOUTHLAKE BLVD, STE 133
SOUTHLAKE, TX 76092
Family Medicine
480 W SOUTHLAKE BLVD, SUITE 115
SOUTHLAKE, TX 76092
Pediatrics
480 W SOUTHLAKE BLVD, STE 133
SOUTHLAKE, TX 76092
Dentist
480 W SOUTHLAKE BLVD, STE #132
SOUTHLAKE, TX 76092

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 Charles Russey's NPI number?

The NPI number for Charles Russey is 1437141041. It was assigned to this individual provider in the NPPES registry on August 19, 2005.

Where is Charles Russey located?

Charles Russey practices at 480 W Southlake Blvd Ste 115, Southlake, TX 76092. The listed phone number is (817) 416-2221.

What is Charles Russey's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

What insurance does Charles Russey accept?

Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list Charles Russey 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 Charles Russey was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.