Individual provider Active NPI

Rudy F Brantley, RRT

  • SNF/Subacute Care Registered Respiratory Therapist
  • Virginia Beach, VA
National Provider Identifier
1164450680
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SNF/Subacute Care Registered Respiratory TherapistTaxonomy code 2279S1500X
Practice address
717 Lamplight LN
Virginia Beach, VA 23452-6534
Phone
(757) 722-9961
NPI assigned
Jun 30, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 12

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Respiratory Therapist 227900000X
Critical Care Registered Respiratory Therapist 2279C0205X
Emergency Care Registered Respiratory Therapist 2279E0002X
Educational Registered Respiratory Therapist 2279E1000X
Geriatric Care Registered Respiratory Therapist 2279G0305X
General Care Registered Respiratory Therapist 2279G1100X
Home Health Registered Respiratory Therapist 2279H0200X
Pulmonary Diagnostics Registered Respiratory Therapist 2279P1004X
Pulmonary Rehabilitation Registered Respiratory Therapist 2279P1005X
Palliative/Hospice Registered Respiratory Therapist 2279P3800X
Patient Transport Registered Respiratory Therapist 2279P4000X
SNF/Subacute Care Registered Respiratory Therapist 2279S1500X Primary

Addresses

Primary practice location

717 Lamplight LN
Virginia Beach, VA 23452-6534

Mailing address

717 Lamplight LN
Virginia Beach, VA 23452-6534
Phone (757) 722-9961

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1164450680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 LAMPLIGHT LN",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234526534",
            "telephone_number": "757-722-9961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 LAMPLIGHT LN",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234526534",
            "telephone_number": "757-722-9961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANTLEY",
        "first_name": "RUDY",
        "middle_name": "F",
        "name_prefix": "Mr.",
        "credential": "RRT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2279C0205X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Critical Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2279E0002X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Emergency Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2279E1000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Educational",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2279G0305X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Geriatric Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2279G1100X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, General Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2279H0200X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2279P1004X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Pulmonary Diagnostics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2279P1005X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Pulmonary Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2279P3800X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Palliative/Hospice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2279P4000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Patient Transport",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2279S1500X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, SNF/Subacute Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.