Active NPI
Brian Rutledge, M.D.
- Gastroenterology Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- T6700
- Practice address
- 4201 Saint Antoine St Ste 5C
Detroit, MI 48201-2153 - Phone
- (313) 577-5030
- Fax
- (313) 745-4707
- NPI assigned
- Apr 6, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301105717 | MI | |
| Gastroenterology Physician | 207RG0100X | T6700 | TX | Primary |
Addresses
Primary practice location
4201 Saint Antoine St Ste 5C
Detroit, MI 48201-2153
Mailing address
1560 E Maple Rd Ste 400
Troy, MI 48083-1135
Phone (313) 745-4525
Other practice location 1
4201 Saint Antoine St
Suite 2E
Detroit, MI 48201-2153
Phone (313) 745-4525
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Wayne State University School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
512 Victoria LN
Suite 2
Harlingen, TX 78550-3227
Phone (956) 365-4400
720 N 77 Sunshinestrip
Harlingen, TX 78550-8848
Phone (956) 365-4400
Hospital & facility affiliations
- Rio Grande Regional Hospital
- Harlingen Medical Center
- Doctors Hosptal at Renaissance
- VHS Harlingen Hospital Company LLC
- Knapp Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 177 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 203 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T6700 | TX | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Physician Group | Internal Medicine | Current | Accepting new patients |
| Cardiovascular Care Providers, Inc. | Past | Accepting new patients |
Locations
4201 Saint Antoine St
Ste 2E
Detroit, MI 48201
Phone (313) 265-7525
4100 John R St
Detroit, MI 48201
Phone (313) 576-8530
4201 Saint Antoine St
Ste 5C
Detroit, MI 48201
Phone (313) 577-5030
1560 E Maple Rd
Ste 400
Troy, MI 48083
Organizations & group practices 3
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.
-
- Gastroenterology Physician
- Harlingen, TX
- NPI 1821127002
-
- Internal Medicine Physician
- Detroit, MI
- NPI 1447299797
-
- Specialist
- Houston, TX
- NPI 1437242617
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- McAllen, TX
- NPI 1619924719
-
- General Acute Care Hospital
- Edinburg, TX
- NPI 1053317362
-
- Transplant Surgery Physician
- McAllen, TX
- NPI 1104338052
Hospital
-
- General Acute Care Hospital
- Harlingen, TX
- NPI 1881688976
-
- General Acute Care Hospital
- Weslaco, TX
- NPI 1861488579
-
- General Acute Care Hospital
- Harlingen, TX
- NPI 1154618742
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655164800000",
"number": "1245658202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1560 E MAPLE RD STE 400",
"city": "TROY",
"state": "MI",
"postal_code": "480831135",
"telephone_number": "313-745-4525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 SAINT ANTOINE ST STE 5C",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012153",
"telephone_number": "313-577-5030",
"fax_number": "313-745-4707"
}
],
"practiceLocations": [
{
"address_1": "4201 Saint Antoine St",
"address_2": "Suite 2E",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482012153",
"country_code": "US",
"telephone_number": "313-745-4525",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUTLEDGE",
"first_name": "BRIAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-06",
"last_updated": "2022-06-14",
"certification_date": "2022-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301105717",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "TX",
"license": "T6700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.