Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Kirk Shane Russell, M.D.

Vascular & Interventional Radiology Physician in Fort Liberty, NC · enumerated 2006.

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

National Provider Identifier

1912075631

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Registry record

Entity type Individual (Type 1)

Name Dr. Kirk Shane Russell

Credential M.D.

Sex Male

Practice address Womack Army Medical Center 2817 Rock Merritt Ave, Fort Liberty, NC, 28310

Phone (910) 907-8707

Fax (910) 907-8707

Enumeration date Dec 1, 2006

Last updated in NPPES Jan 31, 2025

Taxonomy & licenses

2085R0202X Diagnostic Radiology Physician Allopathic & Osteopathic Physicians · License 230324 (NY) Secondary

2085R0202X Diagnostic Radiology Physician Allopathic & Osteopathic Physicians · License 2014-02064 (NC) Secondary

2085R0204X Vascular & Interventional Radiology Physician Allopathic & Osteopathic Physicians · License 2014-02064 (NC) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
1912075631	Medicaid	NC	-

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

Is NPI 1912075631 active?

Yes, as of the latest NPPES snapshot, NPI 1912075631 is active (record last updated 2025-01-31).

How do I verify Kirk Russell's NPI record?

Cross-check NPI 1912075631 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Other providers at this practice address

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Donald Kimbler Certified Registered Nurse Anesthetist · Fort Bragg, NC NPI 1225029846 Jeannette Munoz Speech-Language Pathologist · Fort Bragg, NC NPI 1841276912 Justin Woodson Diagnostic Radiology Physician · Fort Liberty, NC NPI 1720058951 Jennifer Beeman Registered Dietitian · Fort Liberty, NC NPI 1528031937 Lina Daghistani Pediatrics Physician · Fort Bragg, NC NPI 1942262217 Hillarie Saul-Rothman Diagnostic Radiology Physician · Fort Bragg, NC NPI 1083671143 Donald Algeo Pain Medicine (Physical Medicine & Rehabilitation) Physician · Fort Bragg, NC NPI 1598868861 Min Ho Chang Pain Medicine (Physical Medicine & Rehabilitation) Physician · Fort Bragg, NC NPI 1164503504

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-01-31.