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

Dr. Benjamin Russell, AUD

Individual provider Audiologist · NPI 1063854529

Dr. Benjamin Russell, AUD is a Qualified Audiologist in Tampa, Florida. Qualified in 2010, 16 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
16
Licensed in
FL
In the registry since
2013
What do these letters mean?
AUD — Doctor of Audiology
A hearing specialist who tests hearing and fits hearing aids.

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Practice location Address checks out

4202 E Fowler Ave PCD1017
Tampa, FL 33620-8200
Phone: (813) 974-8804
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Audiologist (primary) Taxonomy 231H00000X · Licence AY1685 (FL)

Record details

NPI number1063854529
Entity typeIndividual (Type 1)
GenderMale
Credentials AUD
Sole proprietorYes
NPI enumeratedJuly 25, 2013
Last updated in NPPESJuly 25, 2013
Mailing address4202 E Fowler Ave, Pcd1017, Tampa, FL 33620-8200

Medicare enrollment

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

Medicare specialtyQUALIFIED AUDIOLOGIST
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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