Active NPI
Bruce J Rudin, MD
- Orthopaedic Surgery of the Spine Physician
- Newark, DE
National Provider Identifier
1871564856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- License
- CI0003953
- Practice address
- 4102 Ogletown Stanton Rd Ste B
Newark, DE 19713-4183 - Phone
- (302) 894-1900
- Fax
- (302) 894-0264
- NPI assigned
- Jan 30, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | C10003953 | DE | |
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | CI0003953 | DE | Primary |
Addresses
Primary practice location
4102 Ogletown Stanton Rd Ste B
Newark, DE 19713-4183
Mailing address
211 Executive Dr Ste 11
Newark, DE 19702-3358
Phone (302) 731-2888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000465401 | Medicaid | DE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 97.8 of 100
- Quality
- 96
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C10003953 | DE | MD | Orthopaedic Surgery Physician |
| CI0003953 | DE | MD | Orthopaedic Surgery of the Spine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First State Orthopaedics, PA | Orthopaedic Surgery | Past | Accepting new patients |
Interoperability endpoints
- bruce.rudinmd.p1@direct.fsoortho.nextgenshare.com
Organizations & group practices 1
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.
-
- Orthopaedic Surgery Physician
- Newark, DE
- NPI 1346220266
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538697600000",
"number": "1871564856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 EXECUTIVE DR STE 11",
"city": "NEWARK",
"state": "DE",
"postal_code": "197023358",
"telephone_number": "302-731-2888",
"fax_number": "302-731-7049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4102 OGLETOWN STANTON RD STE B",
"city": "NEWARK",
"state": "DE",
"postal_code": "197134183",
"telephone_number": "302-894-1900",
"fax_number": "302-894-0264"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUDIN",
"first_name": "BRUCE",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-30",
"last_updated": "2018-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "DE",
"license": "C10003953",
"primary": false
},
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "DE",
"license": "CI0003953",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000465401",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.