1. Home
  2. Directory
  3. Tennessee
  4. Bristol
  5. Specialist
  6. NPI Profile

DR. DAVID PAUL RUSSELL M.D.
NPI 1801845862
Specialist in Bristol, TN

Active since May 08, 2006PECOS Enrolled
249 MIDWAY MEDICAL PARK, BRISTOL, TN 37620(423) 968-3033(423) 968-3789 Get Directions Write a Review

NPPES record last updated: June 23, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jun 23, 2020, May 17, 2016 (2 updates tracked since 2016).

About Dr. David Paul Russell M.d. NPPES

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

DR. DAVID PAUL RUSSELL M.D. (NPI 1801845862) is an individual specialist in Bristol, Tennessee, licensed in Tennessee (19081) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Bristol.

NPPES Registry Identity

NPI1801845862
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. DAVID PAUL RUSSELLCredential: M.D.
Location Address249 MIDWAY MEDICAL PARKBristol, TN 37620-1693
Mailing Address249 Midway Medical ParkBristol, TN 37620-1693 · (423) 968-3033 · Fax (423) 968-3789
Phone(423) 968-3033
Fax(423) 968-3789
Sole ProprietorNo
Enumeration DateMay 8, 2006
Last NPPES UpdateJune 23, 20202 updates tracked since enumeration
NPPES CertifiedJune 23, 2020
✔ NPI 1801845862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in TN · 19081
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
249 MIDWAY MEDICAL PARK, Bristol, TN 37620
Open in Google Maps ↗

Secondary Practice Location 1

Location 1208 Medical Park BlvdBristol, TN 37620-7343 · Phone (423) 989-4050 · Fax (423) 990-3044

Other Identifiers 1

Medicaid006241069VA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. David Paul Russell M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show David Russell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Medical Education Assistance Corporation
20 mi
Internal Medicine
101 MED TECH PKWY STE 306
Johnson City, TN 37604
  • Reassigned Medicare billing, Tennessee enrollment
  • 341 clinicians in this Medicare group
NPI 1235180480 (423) 433-6039

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 5

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

MEGAN SMITH
Behavior Analyst
249 MIDWAY MEDICAL PARK
BRISTOL, TN 37620
Sullivan County (423) 398-3999
SURGICAL ASSOICATES, P.C.
Specialist
249 MIDWAY MEDICAL PARK
BRISTOL, TN 37620
Sullivan County (423) 968-1861
MRS. BRENDA LEE ESTES CRNA
Nurse Anesthetist, Certified Registered
249 MIDWAY MEDICAL PARK
BRISTON, TN 37620
Sullivan County (423) 968-3033
THE REGIONAL EYE CENTER, P.C.
Ophthalmology
249 MIDWAY MEDICAL PARK, SUITE 102
BRISTOL, TN 37620
Sullivan County (423) 764-0121
ALAN L. GORRELL M.D.
Obstetrics & Gynecology (Gynecology)
249 MIDWAY MEDICAL PARK, SUITE 202
BRISTOL, TN 37620
Sullivan County (423) 844-6220

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 David Russell's NPI number?

The NPI number for David Russell is 1801845862. It was assigned to this individual provider in the NPPES registry on May 8, 2006.

Where is David Russell located?

David Russell practices at 249 Midway Medical Park, Bristol, TN 37620. The listed phone number is (423) 968-3033.

What is David Russell's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is David Russell enrolled in Medicare?

Yes. David Russell is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for David Russell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Russell reassigns Medicare benefits to Medical Education Assistance Corporation (Johnson City, TN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for David Russell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for David Russell was last updated on June 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.