Individual provider Active NPI

James Robert Rudd Jr., M.D.

  • Obstetrics & Gynecology Physician
  • Deridder, LA
National Provider Identifier
1922218429
Registry record updated Sep 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD.201473 Issued in LA
Practice address
206 W 5TH St
Deridder, LA 70634-4856
Phone
(337) 463-5582
Fax
(337) 460-1348
NPI assigned
May 23, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD.201473 LA Primary

Addresses

Primary practice location

206 W 5TH St
Deridder, LA 70634-4856

Mailing address

206 W 5TH St
Deridder, LA 70634-4856
Phone (337) 463-5582

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070913000310 LA Practitioner - Obstetrics/Gynecology 2062506686 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Louisiana State University School of Medicine in Shreveport, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beauregard Women'S Health Center, LLCGroup PAC ID 9234319955, 5 clinicians

Practice addresses (Care Compare)

206 W 5TH St
Deridder, LA 70634-4856
Phone (337) 462-7160

600 S Pine St
Deridder, LA 70634-4942

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.201473LAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Service District No 2 of Parish of Beauregard State of la Current Accepting new patients
West Louisiana Health Services Inc Obstetrics & Gynecology CurrentSince Oct 21, 2020 Accepting new patients
Beauregard Women'S Health Center, LLC Obstetrics & Gynecology CurrentSince Feb 10, 2011 Accepting new patients
Hospital Service District No 2 of Parish of Beauregard State of la Past Accepting new patients

Locations

501 S Pine St
Deridder, LA 70634
Phone (337) 462-3937

206 W 5th St
Deridder, LA 70634
Phone (337) 462-7106

600 S Pine St
Deridder, LA 70634
Phone (337) 462-7100

Interoperability endpoints

  • Direct secure messaging: james.ruddjr@beauregard.medalliesdirect.net

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188950400000",
    "number": "1922218429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 W 5TH ST",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "706344856",
            "telephone_number": "337-463-5582",
            "fax_number": "337-460-1348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 W 5TH ST",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "706344856",
            "telephone_number": "337-463-5582",
            "fax_number": "337-460-1348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDD",
        "first_name": "JAMES",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "LA",
            "license": "MD.201473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deridder, LA

Sources for this page

Verify at the official NPI Registry.