Individual provider Active NPI

Bennett L Rudorfer, MD

  • Cardiovascular Disease Physician
  • Winchester, TN
National Provider Identifier
1124122700
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
27496 Issued in TN
Practice address
183 Hospital Rd Ste a
Winchester, TN 37398-2471
Phone
(931) 967-1100
Fax
(931) 967-1125
NPI assigned
Sep 12, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 16

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 2

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

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
New York University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amg-Southern Tennessee LLC 54 clinicians

Practice addresses (Care Compare)

183 Hospital Rd
Suite a
Winchester, TN 37398-2471
Phone (931) 967-1100

Hospital & facility affiliations

  • Southern Tennessee Regional Health System Winchest Hospital, Winchester, TN, CCN 440058
  • Saint Thomas Rutherford Hospital Hospital, Murfreesboro, TN, CCN 440053

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, TN, MS3 enrollments
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.

Medicare enrollment records 3

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20040123001001 AR Practitioner - Cardiovascular Disease (Cardiology) 4789586223 Reassigns benefits to 2 organizations
I20040805000060 TN Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 4789586223 Reassigns benefits to 3 organizations
I20220223001097 MS Practitioner - Interventional Cardiology 4789586223 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27496TNMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
White River Health System Inc CurrentSince Jan 1, 2018 Accepting new patients
Specialty Physician Group LLC Cardiovascular Disease CurrentSince Sep 28, 2020 Accepting new patients
Amg-Southern Tennessee LLC CurrentSince Jan 3, 2025 Accepting new patients
Amg-Southern Tennessee LLC CurrentSince Jan 3, 2025 Accepting new patients
White River Health System, Inc. CurrentSince Jan 7, 2018 Accepting new patients
Sutherland Cardiology Clinic, P.C. Current Accepting new patients
Amg -Southern Tennessee LLC Past Accepting new patients
Adult and Adolescent Medicine Clinics PLLC Past Accepting new patients

Locations

3443 Harrison St
Batesville, AR 72501
Phone (870) 698-1635

1710 Harrison St
Batesville, AR 72501
Phone (870) 262-1240

200 W Tyler Ave
West Memphis, AR 72301
Phone (870) 732-7777

310 W Tyler Ave
West Memphis, AR 72301
Phone (870) 732-2398

228 W Tyler Ave
Ste 308
West Memphis, AR 72301
Phone (870) 732-5803

1938 Crescent Meadows Dr
Holly Springs, MS 38635
Phone (662) 252-1599

4240 Bethel Rd
Ste 201
Olive Branch, MS 38654

4250 Bethel Rd
Fl 5
Olive Branch, MS 38654
Phone (662) 932-9544

7460 Wolf River Blvd
Memphis, TN 38138
Phone (901) 516-6792

1211 Union Ave
Ste 965
Memphis, TN 38104
Phone (901) 435-8550

6005 Park Ave
Ste 500B
Memphis, TN 38119

183 Hospital Rd
Ste A
Winchester, TN 37398
Phone (931) 962-1110

183 Hospital Rd
Winchester, TN 37398
Phone (631) 962-2272

83 Memorial Dr
Winchester, TN 37398
Phone (931) 967-3966

Interoperability endpoints

  • Direct secure messaging: bennett.rudorfer.1@19363.direct.athenahealth.com
  • Direct secure messaging: bennettrudorfer@sccpc.allscriptsdirect.net
  • Direct secure messaging: brudorfer@yourcarecommunity.org

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 27496 TN Primary

Addresses

NPPES NPI Registry

Primary practice location

183 Hospital Rd Ste a
Winchester, TN 37398-2471

Mailing address

183 Hospital Rd
Winchester, TN 37398-2470
Phone (931) 967-1100

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 14, 2026.

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1124122700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 HOSPITAL RD",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "373982470",
            "telephone_number": "931-967-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 HOSPITAL RD STE A",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "373982471",
            "telephone_number": "931-967-1100",
            "fax_number": "931-967-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDORFER",
        "first_name": "BENNETT",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-12",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TN",
            "license": "27496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, TN

Sources for this page

Verify at the official NPI Registry.