Active NPI
Eugene Rudd
- Gynecology Physician
- Bristol, TN
National Provider Identifier
1972928604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- MD 28716
- Practice address
- 125 Ashewood Dr
Bristol, TN 37620-5939 - Phone
- (423) 534-2242
- NPI assigned
- Mar 5, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | MD 28716 | TN | Primary |
Addresses
Primary practice location
125 Ashewood Dr
Bristol, TN 37620-5939
Mailing address
125 Ashewood Dr
Bristol, TN 37620-5939
Phone (423) 534-2242
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD 28716 | TN | MD | Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393977600000",
"number": "1972928604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 ASHEWOOD DR",
"city": "BRISTOL",
"state": "TN",
"postal_code": "376205939",
"telephone_number": "423-534-2242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 ASHEWOOD DR",
"city": "BRISTOL",
"state": "TN",
"postal_code": "376205939",
"telephone_number": "423-534-2242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUDD",
"first_name": "EUGENE",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-03-05",
"last_updated": "2014-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "TN",
"license": "MD 28716",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bristol, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.