Bryan S Russell, DPM FACFAS - Podiatrist in Marietta, GA

Bryan S Russell, DPM FACFAS is a Podiatrist - Foot & Ankle Surgery based in Marietta, Georgia. Bryan S Russell is licensed to practice in Georgia (license number POD001261) and his current practice location is 55 Whitcher St, Ste. 450, Marietta, Georgia. He can be reached at his office (for appointments etc.) via phone at (770) 590-4188.

NPI number for Bryan S Russell is 1700854825 and his current mailing address is 559 Vincent St, Attn: 21 Mdos/sgof - Ortho, Peterson Afb, Colorado. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1700854825.

Contact Information

Bryan S Russell, DPM FACFAS
55 Whitcher St, Ste. 450,
Marietta, GA 30060
(770) 590-4188
(770) 590-4189

Map and Direction




Healthcare Provider's Profile

Full NameBryan S Russell
GenderMale
SpecialityPodiatrist - Foot & Ankle Surgery
Location55 Whitcher St, Marietta, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1700854825
  • Provider Enumeration Date: 03/14/2006
  • Last Update Date: 10/30/2020

Medical Identifiers

Medical identifiers for Bryan S Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700854825NPI-NPPES
0003150721CMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213E00000XPodiatrist POD001261 (Georgia)Secondary
213ES0103XPodiatrist - Foot & Ankle Surgery POD001261 (Georgia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bryan S Russell is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Bryan S Russell, DPM FACFAS
559 Vincent St, Attn: 21 Mdos/sgof - Ortho,
Peterson Afb, CO 80914-1541

Ph: (719) 526-2273
Bryan S Russell, DPM FACFAS
55 Whitcher St, Ste. 450,
Marietta, GA 30060

Ph: (770) 590-4188

Reviews and Comments


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