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RUSSELL PERRY MD, A MEDICAL CORPORATION
NPI 1528015559
Radiology - Diagnostic Radiology in Fort Bragg, CA

Active since May 27, 2006
700 RIVER DR, FORT BRAGG, CA 95437(707) 961-4665(707) 961-4780 Get Directions Write a Review

NPPES record last updated: September 5, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Russell Perry Md, A Medical Corporation NPPES

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

RUSSELL PERRY MD, A MEDICAL CORPORATION (NPI 1528015559) is a healthcare organization registered as a diagnostic radiology in Fort Bragg, California and active in the NPI registry since May 2006. The organization lists Russell Myron Perry, President/owner, as its authorized official.

NPPES Registry Identity

NPI1528015559
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameRUSSELL PERRY MD, A MEDICAL CORPORATION
Location Address700 RIVER DRFort Bragg, CA 95437-5403
Mailing AddressPo Box 3222Napa, CA 94558-0293 · (707) 261-7824 · Fax (707) 256-3508
Phone(707) 961-4665
Fax(707) 961-4780
Organization SubpartNo
Authorized OfficialRussell Myron PerryPresident/owner · (707) 261-7880
Enumeration DateMay 27, 2006
Last NPPES UpdateSeptember 5, 2013
✔ NPI 1528015559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
700 RIVER DR, Fort Bragg, CA 95437
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Other Identifiers 4

Medicare PINZZZ27606ZCA
Medicaid00G428120CA
Medicare ID-Type UnspecifiedZZZ27606ZCA
OtherDA6000Railroad Medicare Pin

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.

STEPHEN PINSK, M.D., INC.
Clinical Medical Laboratory
700 RIVER DR
FORT BRAGG, CA 95437
Mendocino County (707) 829-5883
MICHAEL KENT PHARMD
Pharmacist
700 RIVER DR
FORT BRAGG, CA 95437
Mendocino County (707) 961-1234
NINA LARSEN
Registered Nurse (Emergency)
700 RIVER DR
FORT BRAGG, CA 95437
Mendocino County (707) 961-1234
JOHN A. KERMEN, D.O.
Anesthesiology
700 RIVER DR
FORT BRAGG, CA 95437
Mendocino County (707) 961-1234
DR. MASYN ENRIGHT DO
Family Medicine
700 RIVER DR
FORT BRAGG, CA 95437
Mendocino County (707) 961-4631
CHARLES C JENKINS MD
Surgery
700 RIVER DR
FORT BRAGG, CA 95437
Mendocino County (707) 961-1234
PHILLIP CONWELL JR. CRNA
Registered Nurse
700 RIVER DR
FORT BRAGG, CA 95437
Mendocino County (707) 961-1234
JOHN A KERMEN D.O.
Anesthesiology
700 RIVER DR
FORT BRAGG, CA 95437
Mendocino County (707) 961-1234

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 Perry MD, A Medical Corporation's NPI number?

The NPI number for Russell Perry MD, A Medical Corporation is 1528015559. It was assigned to this organization in the NPPES registry on May 27, 2006.

Where is Russell Perry MD, A Medical Corporation located?

Russell Perry MD, A Medical Corporation is located at 700 River Dr, Fort Bragg, CA 95437. The listed phone number is (707) 961-4665.

What is Russell Perry MD, A Medical Corporation's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Russell Perry MD, A Medical Corporation was last updated on September 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.