IndividualActive
Roger Russell, MD
NPI 1588668529 · Plastic and Reconstructive Surgery Physician · Raleigh, NC
Provider details
- NPI number
- 1588668529
- Entity type
- Individual
- Primary specialty
- Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 27515 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
21 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
3633 Harden Rd
Ste 200
Raleigh, NC 27607-3369
Phone: (919) 785-0505
Fax: (919) 785-0205
Street-level locationGet directions
Mailing address
3633 Harden Rd
Raleigh, NC 27607-3369
Registry dates
- Enumerated
- 2005-06-08
- Last updated
- 2010-12-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.