Individual provider Active NPI

Timothy N Rudolph, M.D.

  • Family Medicine Physician
  • Hamilton, TX
National Provider Identifier
1982777975
Registry record updated Apr 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M4933 Issued in TX
Practice address
303 N Brown St
Hamilton, TX 76531-1515
Phone
(254) 386-1700
Fax
(254) 386-4950
NPI assigned
Nov 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M4933 TX Primary

Addresses

Primary practice location

303 N Brown St
Hamilton, TX 76531-1515

Mailing address

PO Box 633
Hamilton, TX 76531-0633
Phone (254) 386-1700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20080605000552 TX Practitioner - Family PracticePractitioner - Emergency Medicine 9931279734 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
University of Texas Medical School at Houston, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hamilton County Hospital DistrictGroup PAC ID 2062326234, 24 clinicians

Practice addresses (Care Compare)

400 N Brown St
Hamilton, TX 76531-1518
Phone (254) 386-1600

400 N Brown St BLDG I
Hamilton General Hospital
Hamilton, TX 76531-1518
Phone (254) 386-1600

Hospital & facility affiliations

  • Solaris Hospice Inc Hospice, Decatur, TX, CCN 451688
  • Hamilton General Hospital Hospital, Hamilton, TX, CCN 451392

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M4933TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group PLLC CurrentSince Jan 13, 2018 Accepting new patients
Family Practice Associates of Hamilton Co PA Family Medicine CurrentSince Jul 1, 2008 Accepting new patients
Timothy Rudolph MD PA Family Medicine CurrentSince Sep 1, 2019 Accepting new patients
Hamilton County Hospital District CurrentSince Jun 1, 2008 Accepting new patients
Hamilton County Hospital District Family Medicine CurrentSince Jun 1, 2008 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Jan 13, 2018 Accepting new patients
Glen Rose Medical Foundation Past Accepting new patients
Glen Rose Medical Foundation Inc. Past Accepting new patients

Locations

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

1021 Holden St
Glen Rose, TX 76043
Phone (254) 897-1425

1207 Reynolds St
Goldthwaite, TX 76844
Phone (325) 648-2258

1501 W Front St
Goldthwaite, TX 76844
Phone (325) 648-2850

400 N Brown St
Hamilton, TX 76531
Phone (254) 386-1600

400 N Brown St
Bldg 1
Hamilton, TX 76531
Phone (254) 386-1600

303 N Brown St
Hamilton, TX 76531
Phone (254) 386-1700

400 N Brown St
Bldg I
Hamilton, TX 76531
Phone (254) 386-1600

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

400 SW 25th Ave
Mineral Wells, TX 76067
Phone (940) 325-7891

305 N McKinney St
Sweeny, TX 77480
Phone (979) 548-1500

Interoperability endpoints

  • Direct secure messaging: trudolph@yourcarecommunity.org

Organizations & group practices 8

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 2

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": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428451200000",
    "number": "1982777975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 633",
            "city": "HAMILTON",
            "state": "TX",
            "postal_code": "765310633",
            "telephone_number": "254-386-1700",
            "fax_number": "254-386-4950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 N BROWN ST",
            "city": "HAMILTON",
            "state": "TX",
            "postal_code": "765311515",
            "telephone_number": "254-386-1700",
            "fax_number": "254-386-4950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDOLPH",
        "first_name": "TIMOTHY",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2015-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M4933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, TX

Sources for this page

Verify at the official NPI Registry.