Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
THOMAS BENNETT RUSSELL, MD
ActivePediatrics · CHARLOTTE, NC
Registration Details
- NPI Number
- 1770622789
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 6, 2007 (19.243918479362 yrs)
- Last Updated
- Jul 15, 2024
- Licenses
-
2012-01500 (NC)2012-01500 (NC)2012-01500 (NC)
Practice Information
- Address
-
1001 BLYTHE BLVDCHARLOTTE, NC, 282035866Browse NC providers · Browse ZIP 28203
- Phone
- 7043819900
- Primary Specialty
-
Pediatrics
208000000X
- Additional Specialty
- Pediatric Hematology-Oncology
- Additional Specialty
- Pediatrics
Other Pediatrics Providers in CHARLOTTE, NC
| Name | Credential | NPI |
|---|---|---|
| IVAN CARRION | — | 1760487292 |
| JOMARI SHEILA TORRES | M.D. | 1851390371 |
| DR. JOY KENDRICK BALL | M.D | 1366444218 |
| CHRISTINE D TWERDI | MD | 1518959410 |
| DR. KRISTA SCHWABACHER MORRIS | M.D. | 1952393886 |
| TRACI AURELIA LADD | M.D. | 1659363489 |
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.