William Garry Rudolph, M.D.

Primary specialty

Occupational Medicine PhysicianTaxonomy code 2083X0100X

License

0101040327 Issued in VA

Practice address

1283 Tow Way Drive
Code N02M
Norfolk, VA 23511

Phone

(757) 443-5760

Fax

(757) 443-5767

NPI assigned

Feb 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216684800000",
    "number": "1295702124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2453 BLUE CASTLE LN",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234541921",
            "telephone_number": "757-443-5760",
            "fax_number": "757-443-5767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1283 TOW WAY DRIVE",
            "address_2": "CODE N02M",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "23511",
            "telephone_number": "757-443-5760",
            "fax_number": "757-443-5767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDOLPH",
        "first_name": "WILLIAM",
        "middle_name": "GARRY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2008-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "VA",
            "license": "0101040327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine M Rucker, LCSW
• Garrett David Rucker, MD
• Emma Kristina Ruckert, FNP-C
• Joan Lynch Rudd, MS APRN, BC
• Tatyana Rudina Ohayon, MBBS
• Heather Marie Ruen, FNP-BC
• Mary Lee Ruff, M.D.
• Regina Paolella Ruffin, MSPT
• Rachel Lin Ruggieri, DC
• Nicole Ann Ruggiero, CRNA

• Occupational Medicine Physician in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Occupational Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; 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.