Individual provider Active NPI

Brent A Rudisel, D.O.

  • Emergency Medicine Physician
  • Plainfield, IN
National Provider Identifier
1477652287
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
02002497A Issued in IN
Practice address
2412 E Main St
Plainfield, IN 46168-2706
Phone
(317) 204-6910
NPI assigned
Sep 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 02002497A IN Primary

Addresses

Primary practice location

2412 E Main St
Plainfield, IN 46168-2706

Mailing address

11523 Wildlife CT
Zionsville, IN 46077-2205
Phone (317) 413-9112

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040924000223 IL Practitioner - Emergency Medicine 7214905454 Reassigns benefits to 2 organizations
I20101015000324 IN Practitioner - Emergency Medicine 7214905454 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.3 of 100Reported as group
Quality
70.94
Improvement activities
40
Cost
92.94

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
02002497AINMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integritas Emergency Physician Services, LLC Emergency Medicine CurrentSince May 1, 2015 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Jul 1, 2022 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Jul 1, 2022 Accepting new patients
Cep America LLC Emergency Medicine Current Accepting new patients
Statera Health Care, LLC Emergency Medicine CurrentSince May 20, 2019 Accepting new patients
Lawrence County Memorial Hospital Past Accepting new patients
Nes Ohio Inc Emergency Medicine Past Accepting new patients
Emergency Medicine Physicians of Medina County, LTD Emergency Medicine Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

2250 N Illinois Ave
Carbondale, IL 62901
Phone (618) 833-1691

100 Dr Warren Tuttle Dr
Harrisburg, IL 62946
Phone (618) 252-4956

611 S Marshall Ave
Mc Leansboro, IL 62859
Phone (618) 542-2146

1418 College Dr
Mount Carmel, IL 62863
Phone (618) 262-8621

8 Doctors Park Rd
Mount Vernon, IL 62864
Phone (618) 244-5500

4321 Fir St
East Chicago, IN 46312
Phone (219) 392-1700

2412 E Main St
Plainfield, IN 46168
Phone (317) 204-6800

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1477652287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11523 WILDLIFE CT",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460772205",
            "telephone_number": "317-413-9112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2412 E MAIN ST",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "461682706",
            "telephone_number": "317-204-6910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDISEL",
        "first_name": "BRENT",
        "middle_name": "A",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "02002497A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, IN

Sources for this page

Verify at the official NPI Registry.