Dr. Kerry Bruce Russell
D.C., C.C.S.P. | Sports Physician Chiropractor | 29+ years Exp
Medicare Enrolled
692 Hannah Ave, Suite A, Traverse City
Michigan, 49686-3110
231-947-2228 231-947-2616
Maps & Directions is a Traverse City, Michigan based chiropractor with
29 years of experience in
Sports Physician Chiropractic. He completed his graduation from
National College Of Chiropractic in 1996. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Kerry Bruce Russell as Sports Physician Chiropractic is
KR007665 in Michigan.
Dr. Kerry Bruce Russell is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.
Complete Profile:
Dr. Kerry Bruce Russell speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Sports Physician Chiropractic |
| Credentials: | D.C., C.C.S.P. |
| Experience: | 29+ years |
| Medical School Attended: | National College Of Chiropractic |
| Graduation Year: | 1996 |
| Gender: | Male |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 692 Hannah Ave, Suite A, Traverse City,
Michigan, 49686-3110 |
| Phone: | 231-947-2228 |
| Fax: | 231-947-2616 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 4486724093 |
| Enrollment ID: | I20080609000059 |
| NPI Number: | 1093714222 |
| NPI Enumeration Date: | 19 Jul, 2005 |
| NPI Last Update On: | 09 Sep, 2011 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kerry Bruce Russell are as mentioned below.
| License Number | Specialization | State | Status | |
| KR007665 | Sports Physician Chiropractor | Michigan | Primary | |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Kerry Bruce Russell is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Russell Chiropractic, Plc (1759451362) | 2 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Kerry Bruce Russell such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 4417133 | Medicaid | Michigan | |
| P99464 | Other | Michigan | BLUE CARE NETWORK |
| U72489 | Other | Michigan | PRIORITY HEALTH |
| 611406599 | Other | Michigan | PPOM |
| 15934 | Other | Michigan | MCARE |
| 950B850440 | Other | Michigan | BCBSM PPO |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 692 Hannah Ave, Suite A
Traverse City, Michigan |
| Zip: | 49686-3110 |
| Phone Number: | 231-947-2228 |
| Fax Number: | 231-947-2616 |
Patients can reach Dr. Kerry Bruce Russell at
692 Hannah Ave, Suite A, Traverse City, Michigan or can
call to book an appointment on 231-947-2228.
Comments/ Reviews:
Patients can read all the reviews posted for Dr. Kerry Bruce Russell below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Dr. Kerry Bruce Russell. It will help others make informed decisions.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.