Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1750820569 Individual Practitioner Male Practitioner

Bryan Russell

Peer Specialist • Grove, OK

Professional Overview & Biography Verified Profile Summary

Bryan Russell is a registered healthcare professional specializing in Peer Specialist in Grove, OK. Practice services are available at 32300 S 625 RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

32300 S 625 Rd

Grove, OK 743446285

Telephone 9187862930
Fax 9187865985
Associated Practice Facility / Clinic
🏢 House Of Hope Inc Facility NPI 1275848384

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Grove, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
38 Specialists

Practicing in Grove, OK (5280 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners
Randy Stine , BS, CADC, ADSAC

Counselor - Addiction (Substance Use Disorder)

NPI 1154585917

Bachelor of Science, Certified Alcohol and Drug Counselor, ADSAC

Jeffery Forbes

Peer Specialist

NPI 1174182232
NPI 1265198832
Jimmy Selanders

Clinic/Center - Mental Health (Including Community Mental Health Center)

NPI 1265821102
Duke Spurgeon , BS ICADC

Counselor - Addiction (Substance Use Disorder)

NPI 1366606089

BSICADC

Heath Smith

Peer Specialist

NPI 1407350580

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 14, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location February 14, 2017

Registered at 32300 S 625 RD, GROVE, OK 743446285 (Tel: 9187862930)

📍
Updated Business Mailing Address February 14, 2017

Registered at PO BOX 451585, GROVE, OK 743451585 (Tel: 9187862930)

👤
Provider Name / Credentials Updated February 14, 2017

Recorded as BRYAN RUSSELL

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 14, 2017

Peer Specialist

🟢
Initial NPI Registration & Enumeration February 14, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1750820569
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 14, 2017
Last Update: February 14, 2017
Sole Proprietor: Yes

Mailing Address

Po Box 451585

Grove, OK 743451585

Phone: 9187862930

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.