Logan Russo, BC-HIS

ActiveIndividual ProviderSpecialty not listed
NPI issued: November 21, 2025

Quick Facts

NPI Number
1154282754
TypeIndividual
StatusActive
SpecialtySpecialty not listed
Taxonomy237700000X — Specialty not listed
Phone
(732) 503-2347
StateAL

NPI Validation Status: Verified

Valid 10-digit NPI number (1154282754)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (November 21, 2025)
Data source: CMS NPPES

Provider Overview

LOGAN RUSSO, BC-HIS is a Healthcare provider based in Theodore, AL who has been registered with CMS since 2025. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1154282754
Provider TypeIndividual Provider
GenderNot specified
CredentialBC-HIS
StatusActive
Enumeration DateNovember 21, 2025

Practice Location

CityTheodore
StateAL
ZIP Code36582-7040
Phone(732) 503-2347

Specialties & Licenses

★ Primary
SpecialtySpecialty not listed
Taxonomy Code237700000X
License StateAL

Mailing Address

CityTheodore
StateAL
ZIP Code36582-7040
Phone(732) 503-2347
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1154282754 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 1154282754for 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 1154282754 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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12,484
Specialty not listed Providers in the US

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No similar providers found in Theodore.

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People Also Ask

What is Logan Russo's NPI number?
Logan Russo's NPI number is 1154282754, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Logan Russo's NPI currently active?
Yes, Logan Russo's NPI status is Active as of the latest CMS NPPES database updates.
What does Logan Russo specialize in?
Logan Russo specializes in Specialty not listed. The healthcare taxonomy code associated with this specialty is 237700000X.
Where does Logan Russo practice?
Logan Russo practices in Theodore, AL 36582-7040.
When was Logan Russo's NPI issued?
Logan Russo's NPI was issued on November 21, 2025.
What is Logan Russo's provider type?
Logan Russo is registered as an Individual Provider under CMS NPI Type 1.