| NPI | 1437141041 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2005-08-19 |
| Last Updated | 2007-07-08 |
| Mailing Address | 480 W Southlake Blvd, Ste 115 Southlake, TX 76092-6162 United States Phone: (817) 416-2221 | Fax: (817) 424-5400 📍 View Map |
| Primary Practice Address | 480 W Southlake Blvd, Ste 115 Southlake, TX 76092-6162 United States Phone: (817) 416-2221 | Fax: (817) 424-5400 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207Q00000X – Family Medicine | TX | K2373 |
Use our free NPI Lookup tool to find any healthcare provider in the NPPES registry. Search NPI →
About NPI 1437141041
Charles Byrom Russey MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1437141041. The primary specialty listed is Family Medicine. The provider is located in Southlake, TX. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2005-08-19. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1437141041?
NPI 1437141041 belongs to Charles Byrom Russey MD, a Family Medicine in Southlake, TX. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1437141041 active?
The current status of NPI 1437141041 in the NPPES registry is Active. The record was last updated on 2007-07-08.
What specialty is NPI 1437141041?
NPI 1437141041 is classified under the taxonomy Family Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1437141041?
You can verify NPI 1437141041 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1437141041?
The primary practice address on file for NPI 1437141041 is 480 W Southlake Blvd, Southlake, TX 76092-6162. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1437141041 issued?
NPI 1437141041 was first issued (enumerated) on 2005-08-19. The NPPES record was last updated on 2007-07-08.
Practice Location Map
Charles Byrom Russey is located at 480 W Southlake Blvd, Southlake, TX. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Charles Byrom Russey. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1437141041. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Family Medicine | K2373 | TX |