PETER L. RUSSELL MD
NPI 1972555415
Family Medicine in Eden Prairie, MN

Active since May 16, 2006
830 PRAIRIE CENTER DR, EDEN PRAIRIE, MN 55344(952) 826-6500 Get Directions Write a Review

NPPES record last updated: May 12, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Peter L. Russell Md NPPES

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

PETER L. RUSSELL MD (NPI 1972555415) is an individual family medicine provider in Eden Prairie, Minnesota, licensed in Minnesota (20898) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1972555415
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NamePETER L. RUSSELLCredential: MD
Location Address830 PRAIRIE CENTER DREden Prairie, MN 55344-7301
Mailing Address830 Prairie Center DrEden Prairie, MN 55344-7301
Sole ProprietorNo
Enumeration DateMay 16, 2006
Last NPPES UpdateMay 12, 2008
NPI 1972555415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MN · 20898
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
830 PRAIRIE CENTER DR, Eden Prairie, MN 55344

Other Identifiers 1

Medicare UPINA94560MN

Other Providers at the Same Location NPPES 13

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

Nurse Practitioner (Family)
830 PRAIRIE CENTER DR
EDEN PRAIRIE, MN 55344
Physician Assistant
830 PRAIRIE CENTER DR
EDEN PRAIRIE, MN 55344
Nurse Practitioner (Family)
830 PRAIRIE CENTER DR
EDEN PRAIRIE, MN 55344
Clinic/Center (Primary Care)
830 PRAIRIE CENTER DR
EDEN PRAIRIE, MN 55344
Family Medicine
830 PRAIRIE CENTER DR
EDEN PRAIRIE, MN 55344
Family Medicine
830 PRAIRIE CENTER DR
EDEN PRAIRIE, MN 55344
Non-Pharmacy Dispensing Site
830 PRAIRIE CENTER DR, STE 180
EDEN PRAIRIE, MN 55344
Nurse Practitioner
830 PRAIRIE CENTER DR
EDEN PRAIRIE, MN 55344

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 Peter Russell's NPI number?

The NPI number for Peter Russell is 1972555415. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Where is Peter Russell located?

Peter Russell practices at 830 Prairie Center Dr, Eden Prairie, MN 55344. The listed phone number is (952) 826-6500.

What is Peter Russell's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Peter Russell was last updated on May 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.