BRENT RUSSELL MD
NPI 1790473783
Student in an Organized Health Care Education/Training Program in Charleston, SC
About Brent Russell Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRENT RUSSELL MD (NPI 1790473783) is an individual student in an organized health care education/training program in Charleston, South Carolina and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Brent Russell Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
CHARLESTON, SC 29425
CHARLESTON, SC 29425
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 Brent Russell's NPI number?
The NPI number for Brent Russell is 1790473783. It was assigned to this individual provider in the NPPES registry on April 27, 2023.
Where is Brent Russell located?
Brent Russell practices at 169 Ashley Ave, Charleston, SC 29425. The listed phone number is (843) 792-7365.
What is Brent Russell's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Brent Russell enrolled in Medicare?
Yes. Brent Russell is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Brent Russell was last updated on April 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Brent Russell, MD · NPI 1790473783
Student in an Organized Health Care Education/Training Program provider in Charleston, South Carolina. Individual provider, active in the CMS NPPES registry since April 27, 2023.
## Identity
- **NPI:** 1790473783 (Entity type: Individual)
- **Enumerated:** April 27, 2023
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 169 ASHLEY AVE, Charleston, SC 29425-8905
- **Phone:** (843) 792-7365
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** April 27, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1790473783) · Data from the CMS NPPES public registry.