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Russell B Shields MD PC

Family Medicine Physician in Bountiful, UT · enumerated 2005 · authorized official Russell Shields, President.

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

National Provider Identifier

1477543213

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Registry record

Entity type Organization (Type 2)
Legal business name Russell B Shields MD PC
Practice address 425 Medical Dr, Ste 108, Bountiful, UT, 84010
Fax (801) 292-8476
Enumeration date Oct 24, 2005
Last updated in NPPES Apr 8, 2008

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Russell Shields
Title President

Other identifiers

Identifier Type State Issuer
528566304004 Medicaid UT -

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

Who is the authorized official for Russell B Shields MD PC?
NPPES lists Russell Shields (President) as the authorized official for this organization.
What is the NPI number for Russell B Shields MD PC?
The NPI for Russell B Shields MD PC is 1477543213, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-04-08.