Brenda H. Rudd, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

03119 Issued in TX

Practice address

6750 N Macarthur Blvd
BLDG. 2, Suite 350
Irving, TX 75039-2875

Phone

(972) 556-1616

Fax

(972) 556-1740

NPI assigned

Sep 14, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Medical Clinic of North Texas PLLC

  • Radiation Oncology Clinic/Center
  • Arlington, TX
  • NPI 1184131625
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275350400000",
    "number": "1023203858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9003 AIRPORT FWY",
            "address_2": "SUITE 300",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761807770",
            "telephone_number": "817-514-5200",
            "fax_number": "817-514-5210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6750 N MACARTHUR BLVD",
            "address_2": "BLDG. 2, SUITE 350",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750392875",
            "telephone_number": "972-556-1616",
            "fax_number": "972-556-1740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDD",
        "first_name": "BRENDA",
        "middle_name": "H.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-14",
        "last_updated": "2010-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "03119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "87N360",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS PA LICENSE",
            "identifier": "03119",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Royal
• Rsa Comforts LLC
• Thomas Joseph Rubeo Jr., MD
• Allen W Rubin, M.D.
• David Rubin, M.D.
• Jaclyn Rudzinski, MD
• Nina-Marie Rueda, ND
• Brittney Ruggeberg, PA
• Jasmin Ruiz
• Narmeen Rupani

• Physician Assistant in Irving, TX
• Providers in Irving, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.