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

Russell Shannon Humphries, DC

Individual provider Chiropractor · NPI 1497769210

Russell Shannon Humphries, DC is a Chiropractic in Port Orange, Florida. Graduated from Life Chiropractic College in 1981, 45 years ago. Accepts Medicare assignment. Licensed in Florida.

Years since qualifying
45
Trained at
Life Chiropractic College
Licensed in
FL
In the registry since
2006
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

4343 Ridgewood Ave Ste B
Port Orange, FL 32127
Phone: (386) 767-2727
Fax: (386) 767-6674
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence CH3773 (FL)

Record details

NPI number1497769210
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedJuly 28, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyCHIROPRACTIC
Medical schoolLIFE CHIROPRACTIC COLLEGE
Graduated 1981 (45 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Port Orange