Kerry Bruce Russell, D.C., C.C.S.P.
Sports Physician Chiropractor · Traverse City, MI
Kerry Bruce Russell, D.C., C.C.S.P. is a sports physician chiropractor with a practice address in Traverse City, Michigan, and NPI 1093714222, issued on Jul 19, 2005. Check the license (Michigan KR007665, as entered in NPPES) with the Michigan board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Kerry Bruce Russell
- Credential
- D.C., C.C.S.P.
- Primary taxonomy
- Sports Physician Chiropractor 111NS0005X
- License number
- KR007665 MI
Self-reported in NPPES; status is on the state search - Practice location
- 692 Hannah Ave, Traverse City, MI 49686
- Phone
- (231) 947-2228
- Enumerated
- Jul 19, 2005
- Record last updated
- Sep 9, 2011 (not updated in 15 years: call before relying on the address or phone)
- Fax
- (231) 947-2616
- Medicaid ID
- 4417133 MI
- Medicare enrollment
- Enrolled (PECOS I20080609000059); accepts Medicare assignment
- Medical or professional school
- National College Of Chiropractic, 1996
- Entity
- Type 1 · individual
8 nearest sports physician chiropractor records → All 25 in Michigan → Look up another NPI →
Also registered at 692 Hannah Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Emily Johnson, D.C.Chiropractor1609112390
Verify Kerry Bruce Russell in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Michigan board licenses this profession
Search for license KR007665Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Russell Chiropractic, PLCTraverse City, MI
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Kerry Bruce Russell among 25 sports physician chiropractor records in Michigan
Kerry Bruce Russell, D.C., C.C.S.P. is one of 25 sports physician chiropractor records with a practice address in Michigan. 16% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.
- NPI issued2005 · 0% of these records are older, 80% newer
- In a Medicare fileYes · 16% of these records are
- In the CMS Doctors and Clinicians fileYes · 52% of these records are
- Graduated1996 · median 2000 among the 13 with a school on file
- Record last updated2011 · 88% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 111NS0005X and a Michigan practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Sports Physician Chiropractor providers in Michigan
There are 25 sports physician chiropractor records in Michigan.
All 25 in Michigan → Every provider in Traverse City → Sports Physician Chiropractor nationwide →
The 8 sports physician chiropractor records with the nearest ZIP codes
- Shane Pluger, D.C.Grand Rapids, MI 495061932504958
- James Dietrick, D.C.Big Rapids, MI 493071346601879
- David Knapp, D.C.Hillsdale, MI 492421124024971
- Peter Gelesko, DCSaint Joseph, MI 490851558386508
- Jeffrey Kurtz, DCRichland, MI 490831366591059
- Christopher Coulsby, D.C.Battle Creek, MI 490371174956718
- Andrew Heib, CCSPPortage, MI 490021235112731
- Charles Decker, DCKalamazoo, MI 490011659591709
Common questions
What is Kerry Bruce Russell, D.C., C.C.S.P.'s NPI number?
Kerry Bruce Russell, D.C., C.C.S.P.'s National Provider Identifier (NPI) is 1093714222, issued on Jul 19, 2005. An NPI identifies a provider in billing; it is not a license.
Where is Kerry Bruce Russell, D.C., C.C.S.P. located?
The NPPES record lists a practice address at 692 Hannah Ave, Traverse City, MI, 49686. Phone: (231) 947-2228. Providers update this record themselves, so call before visiting.
How can I verify Kerry Bruce Russell, D.C., C.C.S.P.'s license?
NPPES lists Michigan license number KR007665, as entered by the provider. Search the Michigan board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.