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

Dr. Russell Steven Blackwelder, MD, MDIV

Individual provider Family Medicine Physician · NPI 1407118508

Dr. Russell Steven Blackwelder, MD, MDIV is a Family Practice in Charleston, South Carolina. Graduated from Medical University of South Carolina College of Medicine in 2012, 14 years ago. Practices with University Medical Associates of the Medical University of South Carol, a 1,640-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
14
Trained at
Medical University of South Carolina College of Medicine
Licensed in
SC
In the registry since
2012
Specialties on file
2
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

171 Ashley Ave
Charleston, SC 29425-8908
Phone: (843) 792-1414
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 34724 (SC)
Family Medicine Physician Taxonomy 207Q00000X · Licence LL34724 (SC)

Record details

NPI number1407118508
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , MDIV
Sole proprietorNo
NPI enumeratedJune 13, 2012
Last updated in NPPESJune 22, 2015

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolMEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice University Medical Associates Of The Medical University Of South Carol — 1640 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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