Individual provider Active NPI

Timothy John Ruddell, M.D.

  • Urology Physician
  • College Station, TX
National Provider Identifier
1043466931
Registry record updated Apr 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
P7029 Issued in TX
Practice address
800 Scott and White Dr
College Station, TX 77845
Phone
(979) 207-4000
NPI assigned
Aug 12, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X P7029 TX Primary

Addresses

Primary practice location

800 Scott and White Dr
College Station, TX 77845

Mailing address

PO Box 844658
Dallas, TX 75284-4658
Phone (800) 994-0371

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address truddell337435@direct.sw.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131023001882 TX Practitioner - Urology 7315172590 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Texas Southwestern Medical School at Dallas, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Scott and White ClinicGroup PAC ID 8123923604, 2,426 clinicians

Practice addresses (Care Compare)

1010 Woodson Dr
Baylor Scott and White Clinic Caldw
Caldwell, TX 77836-1000
Phone (979) 567-4900

1280 Arrington Rd
Suite 200
College Station, TX 77845-8696
Phone (979) 207-6550

15195 FM 2154 Rd
College Station, TX 77845-6808
Phone (979) 207-6700

1605 S 31St St
Baylor Scott and White Center for Dia
Temple, TX 76508-0001
Phone (254) 215-0100

1700 University Dr E
College Station, TX 77840-2661
Phone (979) 691-3300

1700 University Dr E Entrance 16
Care Clinic College Station University Dr
College Station, TX 77840-2661
Phone (979) 207-3636

2111 S Day St
Baylor Scott and White Clinic Brenh
Brenham, TX 77833-5512
Phone (979) 830-5017

2401 S 31 St
Temple, TX 76508-0001
Phone (254) 724-2459

2401 S 31St St BLDG
35 Baylor Scott and White Roney Bone and
Temple, TX 76508-0001
Phone (254) 724-2663

2801 Franciscan Dr
Bryan, TX 77802-2544
Phone (979) 776-3777

5330 Overpass Rd
Buda, TX 78610-2300

5701 Airport Rd
Temple, TX 76502-7092

604 Hwy 290 W
Baylor Scott and White Clinic Brenh
Brenham, TX 77833-5432
Phone (979) 337-5400

700 Medical Pkwy
Brenham, TX 77833-5413
Phone (979) 836-6173

700 Scott and White Dr
College Station, TX 77845-6441
Phone (979) 207-0100

800 Scott and White Dr
College Station, TX 77845-6440
Phone (979) 207-4000

808 6TH St
Hempstead, TX 77445-5402
Phone (979) 826-3341

810 W U Ave
Temple, TX 76508-0001
Phone (254) 724-2585

8264 Hwy 6 Loop
Navasota, TX 77868-3292
Phone (979) 207-6100

Hospital & facility affiliations

  • Baylor Scott & White Medical Center- College Stati Hospital, College Station, TX, CCN 670088
  • Baylor Scott & White Medical Center - Temple Hospital, Temple, TX, CCN 450054
  • Baylor Scott & White Hospital Brenham Hospital, Brenham, TX, CCN 451397
  • CHI St Joseph Health Regional Hospital Hospital, Bryan, TX, CCN 450011
  • Baylor Scott & White Medical Center - Round Rock Hospital, Round Rock, TX, CCN 670034

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
P7029TXMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scott & White Clinic CurrentSince Jun 22, 2018 Accepting new patients
Scott & White Clinic Current Accepting new patients
Scott & White Clinic CurrentSince Jun 22, 2018 Accepting new patients
Scott & White Hospital - Taylor Past Accepting new patients

Locations

700 Medical Pkwy
Brenham, TX 77833
Phone (979) 337-5000

700 Scott and White Dr
College Station, TX 77845
Phone (979) 207-0100

900 Scott and White Dr
Ste 201
College Station, TX 77845
Phone (979) 207-7400

1280 Arrington Rd
Ste 200
College Station, TX 77845
Phone (979) 207-6550

800 Scott and White Dr
College Station, TX 77845
Phone (979) 207-3300

2401 S 31st St
#200
Temple, TX 76508
Phone (254) 215-0100

2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459

Interoperability endpoints

  • Direct secure messaging: truddell337435@direct.sw.org

Organizations & group practices 6

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1043466931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844658",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844658",
            "telephone_number": "800-994-0371",
            "fax_number": "254-215-9722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 SCOTT AND WHITE DR",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "77845",
            "telephone_number": "979-207-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDDELL",
        "first_name": "TIMOTHY",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-12",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "P7029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "truddell337435@direct.sw.org",
            "affiliation": "N",
            "address_1": "800 Scott and White Dr",
            "city": "College Station",
            "state": "TX",
            "country_code": "US",
            "postal_code": "77845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in College Station, TX

Sources for this page

Verify at the official NPI Registry.