IndividualActive
Brad Russell, P.A.
NPI 1487696415 · Surgical Physician Assistant · Bel Air, MD
Provider details
- NPI number
- 1487696415
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- P.A.
- Sex
- Male
- Sole proprietor
- No
- License
- C0003144 (MD)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
520 Upper Chesapeake Dr
Suite 306
Bel Air, MD 21014-4339
Phone: (410) 879-2006
Fax: (410) 879-0248
Approximate (ZIP-level) locationGet directions
Mailing address
520 Upper Chesapeake Dr
Bel Air, MD 21014-4339
Registry dates
- Enumerated
- 2006-06-12
- Last updated
- 2014-06-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.