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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Dr. Kerry Bruce Russell, D.C., C.C.S.P.

Sports Physician Chiropractor in Traverse City, MI · enumerated 2005 · practices at Natural Advantage Chiropractic, Pllc.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1093714222

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Registry record

Entity type Individual (Type 1)
Name Dr. Kerry Bruce Russell
Credential D.C., C.C.S.P.
Sex Male
Practice address Traverse City, MI, 49686
Fax (231) 947-2616
Enumeration date Jul 19, 2005
Last updated in NPPES Sep 9, 2011

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

111NS0005X Sports Physician Chiropractor Chiropractic Providers · License KR007665 (MI) Primary
DC · Doctor of Chiropractic: A licensed chiropractor focusing on musculoskeletal and nervous system disorders. About the DC credential

Other identifiers

Identifier Type State Issuer
4417133 Medicaid MI -
P99464 Other MI BLUE CARE NETWORK
U72489 Other MI PRIORITY HEALTH
611406599 Other MI PPOM
15934 Other MI MCARE
950B850440 Other MI BCBSM PPO

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Kerry Russell?
The National Provider Identifier (NPI) for Kerry Russell is 1093714222, a Type 1 (individual) record in the CMS NPPES registry.
Where does Kerry Russell practice?
The practice location on file with NPPES is in Traverse City, MI. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-09-09.