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

Bernadith Russell, MD, PC

Organization Specialist · NPI 1063685667

Bernadith Russell, MD, PC provides Specialist services in New York, New York. Licensed in New York. Registered with an NPI since 2008.

Licensed in
NY
In the registry since
2008
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

430 W Broadway 2nd Fl
New York, NY 10012-3784 Not confirmed with CMS for 18 years — call before visiting
Phone: (212) 941-0011
Fax: (212) 941-5977
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 223267 (NY)

Record details

NPI number1063685667
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bernadith Russell — Owner · (646) 246-2936
NPI enumeratedApril 4, 2008
Last updated in NPPESApril 29, 2008
Mailing address430 W Broadway, 2nd Floor, New York, NY 10012-3784

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