Rudolph Bolling Psychiatry PC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

License

30986 Issued in AL

Legal business name

RUDOLPH BOLLING PSYCHIATRY PC

Practice address

201 Beacon Pkwy W Ste 201
Birmingham, AL 35209-3129

Phone

(615) 828-1402

NPI assigned

May 7, 2014

Organization subpart

No

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

Authorized official

Name

Brandi J Rudolph Bolling, MDNPI 1962611616

Title

Psychiatrist/ Owner

Phone

(615) 828-1402

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brandi Janness Rudolph Bolling, MD

  • Psychiatry Physician
  • Jasper, AL
  • NPI 1962611616
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1399420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399420800000",
    "number": "1902216203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 BEACON PKWY W STE 201",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352093129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 BEACON PKWY W STE 201",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352093129",
            "telephone_number": "615-828-1402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUDOLPH BOLLING PSYCHIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-07",
        "last_updated": "2014-05-07",
        "status": "A",
        "authorized_official_last_name": "RUDOLPH BOLLING",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PSYCHIATRIST/ OWNER",
        "authorized_official_telephone_number": "615-828-1402",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "AL",
            "license": "30986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Rudd, RN
• Brett Rudder, PHARMD
• Nicholas Evan Ruddock
• Johanna Faye Rude, SRNA, BSN, RN
• Kyle Rudemiller
• Tyrone Rudolph Jr. Jr., NBH-HWC
• Destini Benson Rudolph
• Kelli Rue-Bachini, LICSW
• Loring Rue
• Maria Susana Rueda Altez, MD

• Adolescent and Children Mental Health Clinic/Center in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Adolescent and Children Mental Health Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.