NPIMap

Individual provider Active NPI

Joel Rudman, MD

  • Family Medicine Physician
  • Navarre, FL
National Provider Identifier
1336195346
Registry record updated Sep 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME0074016 Issued in FL
Practice address
7552 Navarre Pkwy Unit 28
Navarre, FL 32566-7308
Phone
(850) 939-3999
Fax
(850) 939-3935
NPI assigned
May 25, 2006
Last updated
Sep 12, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME0074016 FL Primary

Addresses

Primary practice location

7552 Navarre Pkwy Unit 28
Navarre, FL 32566-7308

Mailing address

PO Box 5525
Navarre, FL 32566-0525
Phone (850) 939-3999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050521000016 FL Practitioner - Family Practice 8325030885 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Mississippi School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7552 Navarre Pkwy
Suite 28
Navarre, FL 32566-7308
Phone (850) 939-3999

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions56
Skin biopsy20

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0074016FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Navarre Open MRI LLC CurrentSince Jun 11, 2007 Accepting new patients
Holley-Navarre Medical Clinic LLC Family Medicine CurrentSince Jun 24, 2005 Accepting new patients
Carolinas Physicians Network Inc Family Medicine Past Accepting new patients
4MD2 Physician Services of Fort Walton Beach LLC Past Accepting new patients
North Okaloosa Clinic Corp Family Medicine PastSince Sep 7, 2012 Accepting new patients
Andalusia Emergency Physicians, LLC Past Accepting new patients

Locations

7552 Navarre Pkwy
Unit 28
Navarre, FL 32566
Phone (850) 393-3999

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189555200000",
    "number": "1336195346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5525",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325660525",
            "telephone_number": "850-939-3999",
            "fax_number": "850-939-3935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7552 NAVARRE PKWY UNIT 28",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325667308",
            "telephone_number": "850-939-3999",
            "fax_number": "850-939-3935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDMAN",
        "first_name": "JOEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2007-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0074016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Navarre, FL

Sources for this page

Verify at the official NPI Registry.