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

Scott Russell

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1174025795

Scott Russell is a Family Practice in Bristow, Oklahoma. Graduated from Lincoln Mem Univ, Debusk Col of Osteopathic Med in 2018, 8 years ago. Practices with Ahs Oklahoma Physician Group LLC, a 315-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
8
Trained at
Lincoln Mem Univ, Debusk Col of Osteopathic Med
Licensed in
OK
In the registry since
2018
Specialties on file
2

Practice location Address checks out

700 W 7th Ave Ste 103
Bristow, OK 74010-2302
Phone: (918) 582-1980
Fax: (918) 561-1289
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 6747 (OK)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1174025795
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 28, 2018
Last updated in NPPESMay 6, 2021
Certification dateMay 6, 2021
Mailing address1145 S Utica Ave Ste 110, Tulsa, OK 74104-4013

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolLINCOLN MEM UNIV, DEBUSK COL OF OSTEOPATHIC MED
Graduated 2018 (8 years in practice)
Group practice Ahs Oklahoma Physician Group Llc — 315 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Bristow