Individual provider Active NPI

Brenda Louise Rude, MD

  • Internal Medicine Physician
  • Bentonville, AR
National Provider Identifier
1306956032
Registry record updated Jul 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
E-8734 Issued in AR
Practice address
1000 SE 13TH CT
Bentonville, AR 72712-7857
Phone
(479) 273-9056
Fax
(479) 273-6937
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X E-8734 AR Primary

Addresses

Primary practice location

1000 SE 13TH CT
Bentonville, AR 72712-7857

Mailing address

1000 SE 13TH CT
Bentonville, AR 72712-7857
Phone (479) 273-9056

Other names 1

  • Brenda Moyes Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141111001550 AR Practitioner - Internal Medicine 7517145527 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Texas Medical Branch at Galveston, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Health Northwest Arkansas CommunitiesGroup PAC ID 0648177873, 314 clinicians

Practice addresses (Care Compare)

3101 SE 14TH St
Bentonville, AR 72712-4900
Phone (479) 631-2100

Hospital & facility affiliations

  • Mercy Home Health Home health agency, Rogers, AR, CCN 047149
  • Circle of Life Hospice Hospice, Springdale, AR, CCN 041529
  • Mercy Hospital Northwest Arkansas Hospital, Rogers, AR, CCN 040010

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-8734ARMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Northwest Arkansas Communities CurrentSince Sep 2, 2014 Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince Sep 2, 2014 Accepting new patients

Locations

1000 SE 13th Ct
Bentonville, AR 72712
Phone (479) 273-9056

3101 SE 14th St
Bentonville, AR 72712
Phone (479) 631-2100

2710 S Rife Medical Ln
Rogers, AR 72758
Phone (479) 338-8000

Interoperability endpoints

  • Direct secure messaging: brudemoyes504932@directc.mercy.net

Organizations & group practices 2

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 3

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

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406678400000",
    "number": "1306956032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 SE 13TH CT",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727127857",
            "telephone_number": "479-273-9056",
            "fax_number": "479-273-6937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 SE 13TH CT",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727127857",
            "telephone_number": "479-273-9056",
            "fax_number": "479-273-6937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDE",
        "first_name": "BRENDA",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2014-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "E-8734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRENDA",
            "last_name": "MOYES",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bentonville, AR

Sources for this page

Verify at the official NPI Registry.