Dr. Roy J Russell
Independent Medical Examiner
9059 Madison Blvd Suite H
Madison
, Alabama 35758-3109
Dr. Roy J Russell
Independent Medical Examiner
9059 Madison Blvd Suite H
Madison
, Alabama 35758-3109
(256) 325-1718
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About
Features
Specialties
- Independent Medical Examiner
Languages spoken
- English
Location
First Address
- Dr. Roy J Russell
- 9059 Madison Blvd Suite H
- Madison, AL
- Zip : 35758-3109
- Fax : (256) 325-1718
- Phone : (256) 325-1717
Second Address
- Dr. Roy J Russell
- 9059 Madison Blvd Suite H
- Madison, AL
- Zip : 35758-3109
- Fax : (256) 325-1718
- Phone : (256) 325-1717
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NI0013X | Independent Medical Examiner | 1815 | AL |
National Provider Identifier
| NPI | 1164510830 |
|---|---|
| Provider Name | Dr. Roy J Russell |
| First Address | Madison, AL 35758-3109 |
| Second Address | Madison, AL 35758-3109 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/10/2006 |
| Last Update Date | 20/12/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 102I352127 | (02) | AL |
| 77146 | BLUE CROSS BLUE SHIELD (01) | AL |
| U68766 | (02) | AL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.