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BRYAN RUSSELL
NPI 1750820569
Peer Specialist in Grove, OK

Active since February 14, 2017
32300 S 625 RD, GROVE, OK 74344(918) 786-2930(918) 786-5985 Get Directions Write a Review

NPPES record last updated: February 14, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bryan Russell NPPES

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

BRYAN RUSSELL (NPI 1750820569) is an individual peer specialist in Grove, Oklahoma and active in the NPI registry since February 2017.

NPPES Registry Identity

NPI1750820569
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameBRYAN RUSSELL
Location Address32300 S 625 RDGrove, OK 74344-6285
Mailing AddressPo Box 451585Grove, OK 74345-1585 · (918) 786-2930 · Fax (918) 786-5985
Phone(918) 786-2930
Fax(918) 786-5985
Sole ProprietorYes
Enumeration DateFebruary 14, 2017
✔ NPI 1750820569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
32300 S 625 RD, Grove, OK 74344
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Other Providers at the Same Location NPPES 10

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

VICTORA M CONWELL
Peer Specialist
32300 S 625 RD
GROVE, OK 74344
Delaware County (918) 787-2242
JEFFERY ALAN FORBES
Peer Specialist
32300 S 625 RD
GROVE, OK 74344
Delaware County (918) 786-2930
CAROL PENELOPE GRIFFITH CMII, PRSS
Peer Specialist
32300 S 625 RD
GROVE, OK 74344
Delaware County (918) 786-2930
JIMMY SELANDERS JR.
Clinic/Center (Mental Health (Including Community Mental Health Center))
32300 S 625 RD
GROVE, OK 74344
Delaware County (918) 786-2930
MR. TROY JASON MCNEELY
Peer Specialist
32300 S 625 RD
GROVE, OK 74344
Delaware County (918) 786-2930
JULIA ANN MOORE
Case Manager/Care Coordinator
32300 S 625 RD
GROVE, OK 74344
Delaware County (918) 786-2930
WESLEY JAMES HUCKABY
Peer Specialist
32300 S 625 RD
GROVE, OK 74344
Delaware County (918) 786-2930
BENJAMIN DODSON
Counselor (Addiction (Substance Use Disorder))
32300 S 625 RD
GROVE, OK 74344
Delaware County (918) 786-2930

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 Bryan Russell's NPI number?

The NPI number for Bryan Russell is 1750820569. It was assigned to this individual provider in the NPPES registry on February 14, 2017.

Where is Bryan Russell located?

Bryan Russell practices at 32300 S 625 Rd, Grove, OK 74344. The listed phone number is (918) 786-2930.

What is Bryan Russell's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Bryan Russell was last updated on February 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.