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BRET J RUDY M.D. NPI 1326058900


NPI Information

NPI: 1326058900
Provider Name: BRET J RUDY, M.D.
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
3550 MARKET ST FL4
CHOP DEPARTMENT OF ADOLESCENT MEDICINE
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 590-3537
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Bret J Rudy, M.D. is a pediatrics in Philadelphia, PA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Bret J Rudy, M.D. NPI is 1326058900. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3550 MARKET ST FL4
CHOP DEPARTMENT OF ADOLESCENT MEDICINE
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 590-3537
Fax: (215) 561-0959

The enumeration date for this NPI number is 8/8/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsMD039136EPENNSYLVANIAYes
22080A0000XPediatricsAdolescent MedicineMD039136EPENNSYLVANIAX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12217201MEDICAIDNEW JERSEY
2F80186MEDICARE UPIN
3426854MEDICARE ID-TYPE UNSPECIFIEDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.