OrganizationActive
Charles B Russey
NPI 1477651826 · Family Medicine Physician · Southlake, TX
Charles B Russey is a Family Medicine Physician organization in Southlake, TX (NPI 1477651826).
Provider details
- NPI number
- 1477651826
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Heather Hardin, Office Manager(814) 162-2221
- License
- K2373 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
480 W Southlake Blvd
Suite 115
Southlake, TX 76092
Phone: (817) 416-2221
Fax: (817) 424-5400
Street-level locationGet directions
Mailing address
480 W Southlake Blvd
Southlake, TX 76092
Other names (DBA / former)
- Doing business as
- Acute Care and Family Medicine
Registry dates
- Enumerated
- 2006-09-20
- Last updated
- 2020-08-22
Frequently asked questions
- What is Charles B Russey's NPI number?
- Charles B Russey's National Provider Identifier (NPI) is 1477651826, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Charles B Russey?
- Charles B Russey is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Charles B Russey located?
- Charles B Russey's practice location on file with NPPES is 480 W Southlake Blvd, Southlake, TX 76092.
- What is Charles B Russey's phone number?
- The practice phone number listed in the NPPES registry for Charles B Russey is (817) 416-2221.
- Who is the authorized official for Charles B Russey?
- The authorized official listed on Charles B Russey's NPPES record is Heather Hardin, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Charles B Russey's NPI active?
- Yes — Charles B Russey's NPI (1477651826) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.