IndividualActive
Bryan Russell, DPM FACFAS
NPI 1700854825 · Foot & Ankle Surgery Podiatrist · Marietta, GA
Provider details
- NPI number
- 1700854825
- Entity type
- Individual
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM FACFAS
- Sex
- Male
- Sole proprietor
- No
- License
- POD001261 (GA)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Podiatric Medicine & Surgery Service Providers
Profile Score
Detailed profile(95/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
55 Whitcher St
Ste. 450
Marietta, GA 30060
Phone: (770) 590-4188
Fax: (770) 590-4189
Street-level locationGet directions
Mailing address
559 Vincent St
Peterson Afb, CO 80914-1541
Additional practice locations (1)
- 559 Vincent StAttn: 21 Mdos/Sgof - OrthoPeterson Afb, CO 80914-1541Phone: (719) 526-2273Fax: (877) 813-1756
Registry dates
- Enumerated
- 2006-03-14
- Last updated
- 2020-10-30
- Certified
- 2020-10-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.