Rudolph Freeman Jr., M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

0101033070 Issued in VA

Practice address

11818 Rock Landing Dr Ste 101
Newport News, VA 23606-4394

Phone

(757) 595-3900

NPI assigned

Aug 15, 2006

Last updated

Nov 21, 2019By the provider in NPPES

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 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574294400000",
    "number": "1831102276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "297 INDEPENDENCE BLVD",
            "address_2": "SUITE 126",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234622911",
            "telephone_number": "757-385-0511",
            "fax_number": "757-473-5161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11818 ROCK LANDING DR STE 101",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064394",
            "telephone_number": "757-595-3900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11818 Rock Landing Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236064394",
            "country_code": "US",
            "telephone_number": "757-595-3900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "297 Independence Blvd",
            "address_2": "Suite 126",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234622911",
            "country_code": "US",
            "telephone_number": "757-385-0511",
            "fax_number": "757-473-5161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "RUDOLPH",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2019-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101033070",
            "primary": true
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "VA",
            "license": "0101033070",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA PREMIER",
            "identifier": "1861562472",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA",
            "identifier": "1831102276",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "1831102276",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861562472",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Frederick, RN, MSN, FNP
• Daphney Eddy Frederique, M.D.
• Freedom Choice Home Care LLC
• George Hartley Freeman, M.D.
• Gerald Quinton Freeman Jr., DDS
• Tamara Lynn Freeman, PH.D., CCC-SLP
• Christina Freeze, FNP
• Shelley Freidank, CRNA
• Elise M French, NP
• Fredrick P. Frieden, PH.D.

• Psychiatry Physician in Newport News, VA
• Providers in Newport News, VA by specialty
• Psychiatry Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2019; 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.