Active NPI
Brian D Rudman, M.D.
- Family Medicine Physician
- Dallas, TX
National Provider Identifier
1447281142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- K1038
- Practice address
- 4342 Lovers LN
Dallas, TX 75225-6921 - Phone
- (214) 931-9443
- Fax
- (214) 602-2017
- NPI assigned
- Jul 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | K1038 | TX | |
| Family Medicine Physician | 207Q00000X | K1038 | TX | Primary |
Addresses
Primary practice location
4342 Lovers LN
Dallas, TX 75225-6921
Mailing address
4342 Lovers LN
Dallas, TX 75225-6921
Phone (214) 931-9443
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 129767308 | Medicaid | TX | |
| 129767306 | Medicaid | TX |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Excel Anesthesia, PA | Anesthesiology | Past | Accepting new patients |
| North Texas Anesthesia Consultants, PA | Anesthesiology | Past | Accepting new patients |
| Swmda LLC | Anesthesiology | Past | Accepting new patients |
| Hercules Pain Management LLC | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Pain Medicine (Anesthesiology) Physician
- Dallas, TX
- NPI 1770842338
-
- Anesthesiology Physician
- Dallas, TX
- NPI 1548249147
-
- Anesthesiology Physician
- Dallas, TX
- NPI 1033271192
-
- Anesthesiology Physician
- Frisco, TX
- NPI 1629337282
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1447281142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4342 LOVERS LN",
"city": "DALLAS",
"state": "TX",
"postal_code": "752256921",
"telephone_number": "214-931-9443",
"fax_number": "214-602-2017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4342 LOVERS LN",
"city": "DALLAS",
"state": "TX",
"postal_code": "752256921",
"telephone_number": "214-931-9443",
"fax_number": "214-602-2017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUDMAN",
"first_name": "BRIAN",
"middle_name": "D",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-05",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "K1038",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "K1038",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "129767308",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "129767306",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.