Russell Medbery

ActiveIndividual ProviderSpecialty not listed
NPI issued: June 15, 2006

Quick Facts

NPI Number
1104860964
TypeIndividual
StatusActive
SpecialtySpecialty not listed
Taxonomy367A00000X — Specialty not listed
Phone
(860) 646-1157
StateCT

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1104860964)
✅Active status confirmed
✅Verified by CMS NPPES Registry
✅HIPAA compliant identifier
✅Enumeration date on file (June 15, 2006)
Data source: CMS NPPES

Provider Overview

RUSSELL MEDBERY is a Healthcare provider based in Manchester, CT who has been registered with CMS since 2006. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1104860964
Provider TypeIndividual Provider
GenderMale
StatusActive
Enumeration DateJune 15, 2006

Practice Location

CityManchester
StateCT
ZIP Code06042-1771
Phone(860) 646-1157

Specialties & Licenses

★ Primary
SpecialtySpecialty not listed
Taxonomy Code367A00000X
License StateCT

Mailing Address

CityManchester
StateCT
ZIP Code06042-1771
Phone(860) 646-1157
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1104860964 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1104860964for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1104860964 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Specialty not listed

Specialists in Specialty not listed provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

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11,771
Specialty not listed Providers in the US

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People Also Ask

What is Russell Medbery's NPI number?
Russell Medbery's NPI number is 1104860964, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Russell Medbery's NPI currently active?
Yes, Russell Medbery's NPI status is Active as of the latest CMS NPPES database updates.
What does Russell Medbery specialize in?
Russell Medbery specializes in Specialty not listed. The healthcare taxonomy code associated with this specialty is 367A00000X.
Where does Russell Medbery practice?
Russell Medbery practices in Manchester, CT 06042-1771.
When was Russell Medbery's NPI issued?
Russell Medbery's NPI was issued on June 15, 2006.
What is Russell Medbery's provider type?
Russell Medbery is registered as an Individual Provider under CMS NPI Type 1.