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

Brian Russell Ingram, DO

Individual provider Family Medicine Physician · NPI 1609356039

Brian Russell Ingram, DO is a Family Practice in Jacksonville, Alabama. Qualified in 2018, 8 years ago. Practices with Southeast Medical Group, PC, a 138-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Alabama.

Years since qualifying
8
Licensed in
AL
In the registry since
2018
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1460A 2nd Ave SW
Jacksonville, AL 36265-3358
Phone: (256) 435-2180
Fax: (256) 435-8718
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence DO.2156 (AL)

Record details

NPI number1609356039
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedAugust 15, 2018
Last updated in NPPESAugust 30, 2023
Certification dateAugust 30, 2023
Mailing address4371 Narrow Lane Rd Ste 100, Montgomery, AL 36116-2975

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Southeast Medical Group, P.C. — 138 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Jacksonville