MR. CHARLES BYROM RUSSEY (MD) – Family Medicine Physician, NPI 1437141041

MR. CHARLES BYROM RUSSEY (MD) is a healthcare provider. based in Southlake, Texas. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. K2373 (TX). The NPI Number for MR. CHARLES BYROM RUSSEY (MD) is 1437141041

Main info

Male
Name
MR. CHARLES BYROM RUSSEY (MD)
NPI
1437141041
Phone
(817) 416-2221
Address
480 W SOUTHLAKE BLVD
Enumeration Date
19 August 2005
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for MR. CHARLES BYROM RUSSEY (MD)

  • 480, West Southlake Boulevard, Southlake, Tarrant County, Texas, 76092, United States

    STE 115

    SOUTHLAKE, TX 760926162

    Phone: (817) 416-2221

    Fax: (817) 424-5400

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $13.

Total Amount is formed as General ($13) + Research ($0) + Ownership ($0) = $13.

Last reported payment date: 2024-01-04 • Largest payer in this snapshot: Astellas Pharma US Inc ($13).

Total Amount

$13

General + Research + Ownership

Payments

1

Total payment records

General Amount

$13

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-04

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Astellas Pharma US Inc$13
View all Open Payments →|Open Payments Risk Radar →

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.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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 76092)

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Reviews

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Frequently asked questions

Can I verify MR. CHARLES BYROM RUSSEY (MD) with an NPI only?
You can start verification with NPI 1437141041 for MR. CHARLES BYROM RUSSEY (MD), then check state licensing separately.
Does CMS list MR. CHARLES BYROM RUSSEY (MD) as active?
Yes — MR. CHARLES BYROM RUSSEY (MD) is active in the NPI listing used on this page.
What is MR. CHARLES BYROM RUSSEY (MD)'s specialty?
The listing groups MR. CHARLES BYROM RUSSEY (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is MR. CHARLES BYROM RUSSEY (MD) based?
MR. CHARLES BYROM RUSSEY (MD) is tied to Southlake, Texas in the data we show; additional addresses may exist on the full record.
Is the information about MR. CHARLES BYROM RUSSEY (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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