Nathan P Rud, M.D.
Individual provider Active NPI Family Medicine Physician · Adrian, MN
NPI 1205830791 · NPPES record last updated Mar 31, 2022
Key facts
- NPI
- 1205830791
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 34074 (MN)
- Practice address
- 601 Louisiana Ave
Adrian, MN 56110-1051 - Phone
- (507) 483-2668
- Fax
- (507) 483-2925
- NPI assigned
- Jun 13, 2005
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 34074 | MN | Yes |
Addresses
Primary practice location
601 Louisiana Ave
Adrian, MN 56110-1051
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Phone (605) 328-9556
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 490205000 | Medicaid | MN | |
| 5607563 | Medicaid | SD |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nrud151@direct.sanfordhealth.org |
Other providers in Adrian, MN
- Carl Ole Hallum
- Katie Henning
- Macey Karnof
- Kroon Community Drug Inc
- Prosperous Home Care of Minnesota LLC
- Sanford Clinic
- Sanford Health Network
- Michelle Skaff
- Brooke Danielle Vandenhoek
- Terri Sue Vollink
All providers in Adrian, MN · Family Medicine Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 31, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.