Russell, Jr, Alexander Brevard

Russell, Jr, Alexander Brevard is an individual health care provider with primary practice located at 245 N Binkley St Suite 101, Soldotna AK 99669-7500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Russell, Jr, Alexander Brevard can be contacted via phone (907) 714-4111.

Contact Information

Primary practice address
245 N Binkley St Suite 101 Soldotna AK 99669-7500
Phone: (907) 714-4111
Fax: (844) 912-3953
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 010653 Georgia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 786 Alaska

Profile Details

NPI number 1093787988
LBN Legal business name Russell, Jr, Alexander Brevard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2006
Last updated Jul 17th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1093787988 NPPES
Alaska MEDICAID MD0786

Popular Providers