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RUSSELL L. CARLISLE, D.O.
NPI 1528459526
Clinic/Center - Primary Care in Brandon, MS

Active since February 11, 2015
333 WILLOW RIDGE CV, BRANDON, MS 39047(601) 757-5791 Get Directions Write a Review

NPPES record last updated: February 11, 2015. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Russell L. Carlisle, D.o. NPPES

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

RUSSELL L. CARLISLE, D.O. (NPI 1528459526) is a healthcare organization registered as a primary care in Brandon, Mississippi and active in the NPI registry since February 2015. The organization lists Russell Carlisle, Owner, as its authorized official.

NPPES Registry Identity

NPI1528459526
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameRUSSELL L. CARLISLE, D.O.
Location Address333 WILLOW RIDGE CVBrandon, MS 39047-8089
Mailing Address333 Willow Ridge CvBrandon, MS 39047-8089 · (601) 757-5791
Phone(601) 757-5791
Organization SubpartNo
Authorized OfficialRussell CarlisleOwner · (601) 757-5791
Enumeration DateFebruary 11, 2015
✔ NPI 1528459526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in MS · 15093
333 WILLOW RIDGE CV, Brandon, MS 39047
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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 L. Carlisle, D.O.'s NPI number?

The NPI number for Russell L. Carlisle, D.O. is 1528459526. It was assigned to this organization in the NPPES registry on February 11, 2015.

Where is Russell L. Carlisle, D.O. located?

Russell L. Carlisle, D.O. is located at 333 Willow Ridge Cv, Brandon, MS 39047. The listed phone number is (601) 757-5791.

What is Russell L. Carlisle, D.O.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Russell L. Carlisle, D.O. was last updated on February 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.