Russell B Shields MD PC
NPI 1477543213ActiveOrganization· Family Medicine· Bountiful, UT
Family Medicine in Bountiful, Utah, registered in NPPES in October 2005. The authorized official on file is Russell Brent Shields, President.
Overview
| NPI | 1477543213 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 24, 2005 |
| Last updated in NPPES | Apr 8, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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