Brittney Ann Russell
Emergency Medicine, Pediatric Emergency Medicine in Fort Myers, FL. Individual provider (NPI-1).
NPI number1891290987
StatusActive
Last updated in NPPESAug 9, 2024
Details
- NPI
- 1891290987
- Entity type
- Individual (NPI-1)
- Name
- Brittney Ann Russell
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 29, 2018
- Certification date
- Aug 9, 2024
- Last updated
- Aug 9, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - EMERGENCY MEDICINE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207PP0204X | Emergency Medicine, Pediatric Emergency Medicine | OS21104 | FL | Yes |
Practice location
9981 S Healthpark DrFort Myers, FL 33908-3618
Phone 239-343-5437
Mailing address
Po Box 2147Fort Myers, FL 33902-2147
Phone 239-343-6260 · Fax 239-343-6259
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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