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

Mr. Russell S Medbery Jr.

Individual provider Advanced Practice Midwife · NPI 1104860964

Mr. Russell S Medbery Jr. is an Advanced Practice Midwife in Manchester, Connecticut. Licensed in Connecticut. Registered with an NPI since 2006.

Licensed in
CT
In the registry since
2006

Practice location Address checks out

360 Tolland Tpke Ste 3B
Manchester, CT 06042-1771
Phone: (860) 646-1157
Fax: (860) 646-9877
Show map & directions

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

Specialties & licences

Advanced Practice Midwife (primary) Taxonomy 367A00000X · Licence 000040 (CT)

Record details

NPI number1104860964
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 15, 2006
Last updated in NPPESJuly 13, 2026

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