Individual provider Active NPI

Amanda Kate Rudman Spergel, M.D.

  • Internal Medicine Physician
  • Bethesda, MD
National Provider Identifier
1326203019
Registry record updated Aug 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101248504 Issued in VA
Practice address
10 Center Drive
Building 10, Room 12C103
Bethesda, MD 20892-1899
Phone
(301) 273-8900
NPI assigned
Jul 23, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2011

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 0101248504 VA Primary

Addresses

Primary practice location

10 Center Drive
Building 10, Room 12C103
Bethesda, MD 20892-1899

Mailing address

10 Center Drive
Building 10, Room 12C103
Bethesda, MD 20892-1899

Other names 1

  • Amanda Kate Rudman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101248504VAMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312156800000",
    "number": "1326203019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CENTER DRIVE",
            "address_2": "BUILDING 10, ROOM 12C103",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208921899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CENTER DRIVE",
            "address_2": "BUILDING 10, ROOM 12C103",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208921899",
            "telephone_number": "301-273-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDMAN SPERGEL",
        "first_name": "AMANDA",
        "middle_name": "KATE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-23",
        "last_updated": "2011-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101248504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "RUDMAN",
            "middle_name": "KATE",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2011; 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.