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

Dr. Timothy Glenn Russell, MD

Individual provider General Practice Physician · NPI 1073937132

Dr. Timothy Glenn Russell, MD is a Diagnostic Radiology in Fort Campbell, Kentucky. Graduated from Uniformed Services Uhs Fe Hebert School of Med in 2014, 12 years ago. Practices with Oxford Pre Op and Imaging Center LLC, a 20-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Mississippi and Nebraska.

Years since qualifying
12
Trained at
Uniformed Services Uhs Fe Hebert School of Med
Licensed in
MS, NE
In the registry since
2014
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

650 Joel Dr
Fort Campbell, KY 42223-5318
Phone: (270) 798-8768
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 140 Burke Calhoun City Rd, Calhoun City, MS 38916-9690 — (662) 842-1758

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 28048 (MS)
General Practice Physician Taxonomy 208D00000X · Licence 28944 (NE)

Record details

NPI number1073937132
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 10, 2014
Last updated in NPPESDecember 17, 2024
Certification dateDecember 17, 2024

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Graduated 2014 (12 years in practice)
Group practice Oxford Pre Op And Imaging Center Llc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations14 on file with Medicare

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