{"npi":"1720178445","type":"NPI-1","status":"active","name":{"display":"William Russell MD","other":[],"first":"WILLIAM","last":"RUSSELL","middle":"M","credential":"MD"},"specialty":{"primary_taxonomy":"207RG0300X","primary_taxonomy_description":"Geriatric Medicine (Internal Medicine) Physician","slug":"geriatric-medicine-internal-medicine-physician","schema_org_specialty":null,"all":[{"code":"207R00000X","description":"Internal Medicine","primary":false,"state":"MD","license":"D30182"},{"code":"207RG0300X","description":"Geriatric Medicine (Internal Medicine) Physician","primary":true,"state":"MD","license":"D0030182"}]},"addresses":[{"purpose":"LOCATION","street_1":"5317 ATLANTIC AVE STE 104","city":"DELRAY BEACH","state":"FL","postal_code":"334848175","country_code":"US","phone":"5614966000"},{"purpose":"MAILING","street_1":"5700 LAKE WORTH RD STE 204","city":"GREENACRES","state":"FL","postal_code":"334633213","country_code":"US","phone":"5619667707"}],"license":{"state":"MD","number":"D0030182"},"identifiers":[{"type_code":"01","label":"Other","value":"39949003","state":null,"issuer":"BCBS OF MD"},{"type_code":"05","label":"Medicaid","value":"369001600","state":"MD","issuer":null},{"type_code":"01","label":"Other","value":"0012","state":null,"issuer":"BCBS OF DC"},{"type_code":"01","label":"Other","value":"0943ER-399490-05","state":null,"issuer":"CAREFIRST BCBS OF MD"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20171017000504","type_code":"14-11","type_desc":"PRACTITIONER - INTERNAL MEDICINE","state":"FL","pac_id":"0244298438"}]},"enumeration_date":"2006-10-13","last_updated":"2021-12-13","_meta":{"source":"NPPES","snapshot_date":"2021-12-13","doc_url":"https://findmynpi.com/api"}}