Organization Active NPI

Frank H. Rudeseal, M.D., P.C.

  • Internal Medicine Physician
  • Hoover, AL
National Provider Identifier
1922218270
Registry record updated Mar 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
00011696 Issued in AL
Legal business name
FRANK H. RUDESEAL, M.D., P.C.
Practice address
2057 Valleydale Rd Ste 220
Hoover, AL 35244-2706
Phone
(205) 949-1980
NPI assigned
May 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2020

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

Authorized official

Name
Dr. Frank H Rudeseal, M.D.
Title
Physician
Phone
(205) 949-1980

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 00011696 AL Primary

Addresses

Primary practice location

2057 Valleydale Rd Ste 220
Hoover, AL 35244-2706

Mailing address

PO Box 936
Jemison, AL 35085-0936
Phone (205) 949-1990

Other identifiers 2

IdentifierTypeStateIssuer
000025063MedicaidAL
25063OtherALBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050727000448 AL Part B Supplier - Clinic/Group Practice 0143258608 Receives reassigned benefits from 2 practitioners
Practice locations: Hoover, AL

National Provider Directory

National Provider Directory

Locations

2057 Valleydale Rd
Ste 220
Hoover, AL 35244
Phone (205) 910-6463

120 Cahaba Valley Pkwy
Pelham, AL 35124
Phone (205) 621-3778

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585612800000",
    "number": "1922218270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 936",
            "city": "JEMISON",
            "state": "AL",
            "postal_code": "350850936",
            "telephone_number": "205-949-1990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2057 VALLEYDALE RD STE 220",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352442706",
            "telephone_number": "205-949-1980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANK H. RUDESEAL, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A",
        "authorized_official_last_name": "RUDESEAL",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "205-949-1980",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "00011696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000025063",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "25063",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoover, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2020; 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.