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

Bryan S Russell, DPMFACFAS

Individual provider Podiatrist · NPI 1700854825

Bryan S Russell, DPMFACFAS is a Podiatrist in Marietta, Georgia. Works from 2 locations. Licensed in Georgia.

Licensed in
GA
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

55 Whitcher St Ste 450
Marietta, GA 30060
Phone: (770) 590-4188
Fax: (770) 590-4189
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 559 Vincent St, Peterson Afb, CO 80914-1541 — (719) 526-2273

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence POD001261 (GA)
Podiatrist Taxonomy 213E00000X · Licence POD001261 (GA)

Record details

NPI number1700854825
Entity typeIndividual (Type 1)
GenderMale
Credentials DPMFACFAS
Sole proprietorNo
NPI enumeratedMarch 14, 2006
Last updated in NPPESOctober 30, 2020
Certification dateOctober 30, 2020
Mailing address559 Vincent St, Attn: 21 Mdos/Sgof - Ortho, Peterson Afb, CO 80914-1541

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