Unknown Individual – Rheumatology Physician, NPI 1609863331

Unknown Individual is a healthcare provider. based in Russellville, Alabama. specializing in Rheumatology Physician. They hold a License No. AL17644 (AL). The NPI Number for Unknown Individual is 1609863331

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1609863331
Phone
(256) 332-5771
Address
PO BOX 480
Deactivation Date
4 December 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • PO BOX 480

    RUSSELLVILLE, AL 356530480

    Phone: (256) 332-5771

    Fax: (256) 331-4263

    Type: Mailing

  • Andrew Jackson Highway, Russellville, Franklin County, Alabama, 35653, United States

    STE A

    RUSSELLVILLE, AL 356531999

    Phone: (256) 332-5771

    Fax: (256) 331-4263

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 35653)

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Reviews

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Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1609863331.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Rheumatology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Russellville, Alabama in the data we show; additional addresses may exist on the full record.
Why does Unknown Individual have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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