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

Russell Adam Burnham, PA-C

Individual provider Physician Assistant · NPI 1700179199

Russell Adam Burnham, PA-C is a Physician Assistant in Fort Drum, New York. Registered with an NPI since 2011.

In the registry since
2011
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

P-10506 Euphrates River Valley Rd 1-89 Cav 2BCT 10th Mtn Div
Fort Drum, NY 13602-5438
Phone: (315) 774-0024
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1700179199
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 18, 2011
Last updated in NPPESAugust 30, 2012

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