NPI 1598621203
Russell Bland
Practice location
- Address
- 3277 S Crater Rd STE D, Petersburg, VA 23805-9285
- Phone
- (301) 752-4611
- Mailing address
- 1331 German School Rd APT 201, Richmond, VA 23225-4192
Registered specialties (3)
Community Health Worker
Primary
Behavior Technician
Case Manager/Care Coordinator
Registry record
- NPI
- 1598621203
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 27 Dec 2025
- Record last updated
- 27 Dec 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.