Bret J Rudy, M.D.

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

MD039136E Issued in PA

Practice address

3550 Market St FL4
Chop Department of Adolescent Medicine
Philadelphia, PA 19104

Phone

(215) 590-3537

Fax

(215) 561-0959

NPI assigned

Aug 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1326058900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N 20TH ST",
            "address_2": "CHCA SUITE 301",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191031443",
            "telephone_number": "215-567-2422",
            "fax_number": "215-561-0959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 MARKET ST FL4",
            "address_2": "CHOP DEPARTMENT OF ADOLESCENT MEDICINE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19104",
            "telephone_number": "215-590-3537",
            "fax_number": "215-561-0959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDY",
        "first_name": "BRET",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD039136E",
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "PA",
            "license": "MD039136E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2217201",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Rudolph
• Paige Allyson Rudolph, DNP, CRNA
• Shane Michael Rudolph, CRNP
• Julia Marie Rudowitz, PT, DPT
• Sharmistha Rudra, M.D.
• Merisa Rudy
• Dalesa Rueda, LMFT
• Marco Ruella, MD
• Sara Ruff
• Anthony R Ruffin

• Pediatric Adolescent Medicine Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Pediatric Adolescent Medicine Physician in Pennsylvania

• 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.