Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RUSSELL L ELLIS, MD
ActiveRUSSELL L ELLIS, MD is a Sports Medicine (PM&R) healthcare provider located in DECATUR, Alabama. NPI 1134292766 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (PM&R) · DECATUR, AL
Registration Details
- NPI Number
- 1134292766
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 15, 2006 (19.783317627904 yrs)
- Last Updated
- Jul 30, 2025
- License
-
00022020 (AL)
Practice Information
- Address
-
1103 16TH AVE SEDECATUR, AL, 356013595Browse AL providers · Browse ZIP 35601
- Phone
- 2563500362
- Primary Specialty
-
Sports Medicine (PM&R)
2081S0010X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.