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RUSSELL B SHIELDS MD PC
NPI 1477543213
Family Medicine in Bountiful, UT

Active since October 24, 2005
425 MEDICAL DR, STE 108, BOUNTIFUL, UT 84010(801) 292-8444(801) 292-8476 Get Directions Write a Review

NPPES record last updated: April 8, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Russell B Shields Md Pc NPPES

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

RUSSELL B SHIELDS MD PC (NPI 1477543213) is a healthcare organization registered as a family medicine in Bountiful, Utah and active in the NPI registry since October 2005. The organization lists Russell Brent Shields, President, as its authorized official.

NPPES Registry Identity

NPI1477543213
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameRUSSELL B SHIELDS MD PC
Location Address425 MEDICAL DR, STE 108Bountiful, UT 84010-4945
Mailing Address425 Medical Dr, Ste 108Bountiful, UT 84010-4945 · (801) 292-8444 · Fax (801) 292-8476
Phone(801) 292-8444
Fax(801) 292-8476
Organization SubpartNo
Authorized OfficialRussell Brent ShieldsPresident · (801) 292-8444
Enumeration DateOctober 24, 2005
Last NPPES UpdateApril 8, 2008
✔ NPI 1477543213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
425 MEDICAL DR, Bountiful, UT 84010
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Other Identifiers 2

Medicare PINDG2545UT
Medicaid528566304004UT

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

LOUIS S. NAEGLE, LCSW, P.C.
Marriage & Family Therapist
425 MEDICAL DR, SUITE 212
BOUNTIFUL, UT 84010
Davis County (801) 298-3442
RODNEY M. JEX DPM
Podiatrist (Foot & Ankle Surgery)
425 MEDICAL DR, STE 215
BOUNTIFUL, UT 84010
Davis County (801) 292-9222
MARLIN M FORSYTH
Physical Therapist
425 MEDICAL DR, SUITE 104
BOUNTIFUL, UT 84010
Davis County (801) 292-5011
ALLAN C EDSON, D.O., PC
Internal Medicine
425 MEDICAL DR, SUITE 207
BOUNTIFUL, UT 84010
Davis County (801) 294-5224
WELLSPRINGS LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
425 MEDICAL DR
BOUNTIFUL, UT 84010
Davis County (801) 992-3479
HEIDI ALEXANDRIA BISHOP LCSW
Social Worker (Clinical)
425 MEDICAL DR, SUITE 218
BOUNTIFUL, UT 84010
Davis County (801) 979-2756
MASTER OPTICIANS
Durable Medical Equipment & Medical Supplies
425 MEDICAL DR, SUITE 219
BOUNTIFUL, UT 84010
Davis County (801) 298-2309
DR. ALLAN CURTIS EDSON DO
Family Medicine
425 MEDICAL DR, SUITE 207
BOUNTIFUL, UT 84010
Davis County (801) 294-5224

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 Russell B Shields MD PC's NPI number?

The NPI number for Russell B Shields MD PC is 1477543213. It was assigned to this organization in the NPPES registry on October 24, 2005.

Where is Russell B Shields MD PC located?

Russell B Shields MD PC is located at 425 Medical Dr Ste 108, Bountiful, UT 84010. The listed phone number is (801) 292-8444.

What is Russell B Shields MD PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Russell B Shields MD PC was last updated on April 8, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.