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

Dr. Kerry Bruce Russell, DC, CCSP

Individual provider Sports Physician Chiropractor · NPI 1093714222

Dr. Kerry Bruce Russell, DC, CCSP is a Chiropractic in Traverse City, Michigan. Graduated from National College of Chiropractic in 1996, 30 years ago. Practices with Russell Chiropractic, PLC, a 3-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
30
Trained at
National College of Chiropractic
Licensed in
MI
In the registry since
2005
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

692 Hannah Ave Ste A
Traverse City, MI 49686-3110
Phone: (231) 947-2228
Fax: (231) 947-2616
Show map & directions

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

Specialties & licences

Sports Physician Chiropractor (primary) Taxonomy 111NS0005X · Licence KR007665 (MI)

Record details

NPI number1093714222
Entity typeIndividual (Type 1)
GenderMale
Credentials DC , CCSP
Sole proprietorYes
NPI enumeratedJuly 19, 2005
Last updated in NPPESSeptember 9, 2011

Medicare enrollment

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

Medicare specialtyCHIROPRACTIC
Medical schoolNATIONAL COLLEGE OF CHIROPRACTIC
Graduated 1996 (30 years in practice)
Group practice Russell Chiropractic, Plc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount