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

Logan Michael Russo, BC-HIS

Individual provider Hearing Instrument Specialist · NPI 1154282754

Logan Michael Russo, BC-HIS is a Hearing Instrument Specialist in Theodore, Alabama. Practices as a sole proprietor. Licensed in Alabama and Mississippi.

Licensed in
AL, MS
In the registry since
2025
Specialties on file
2

Practice location Address checks out

8726 Ramsey Dr
Theodore, AL 36582-7040
Phone: (732) 503-2347
Show map & directions

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

Specialties & licences

Hearing Instrument Specialist (primary) Taxonomy 237700000X · Licence 4241 (AL)
Hearing Instrument Specialist Taxonomy 237700000X · Licence 714 (MS)

Record details

NPI number1154282754
Entity typeIndividual (Type 1)
GenderNot disclosed
Credentials BC-HIS
Sole proprietorYes
NPI enumeratedNovember 21, 2025
Last updated in NPPESNovember 21, 2025
Certification dateNovember 21, 2025