Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brent Russell, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1790473783

Brent Russell, MD is a Student in an Organized Health Care Education/Training Program in Charleston, South Carolina. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

169 Ashley Ave
Charleston, SC 29425-8905
Phone: (843) 792-7365
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1790473783
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 27, 2023
Last updated in NPPESApril 27, 2023
Certification dateApril 27, 2023

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