Dr. Kerry Bruce Russell is a Traverse City, Michigan based male chiropractor with 28 years of experience in Sports Physician. 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 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:
Chiropractor - Sports Physician
Credentials:
D.C., C.C.S.P.
Experience:
28+ 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
Chiropractor - Sports Physician
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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
Comments/ Reviews:
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