Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Joseph Rudolph, M.D.
Pediatrics Physician in Fenton, MO · enumerated 2006.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1376561464
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Registry record
Entity type Individual (Type 1)
Name Joseph Rudolph
Credential M.D.
Sex Male
Practice address 1011 Bowles Ave, Suite 300, Fenton, MO, 63026
Phone (314) 496-5000
Fax (314) 496-5015
Enumeration date Jul 17, 2006
Last updated in NPPES Sep 2, 2009
Taxonomy & licenses
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure.
About the MD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202083069 | Medicaid | MO | - |
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
What specialty is Joseph Rudolph?
Joseph Rudolph is registered in NPPES with the primary taxonomy of Pediatrics Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.
Other providers at this practice address
Browse all → Enrique Pastrana Surgery Physician · Fenton, MO NPI 1417940412 Carrie Hruza Optometrist · Fenton, MO NPI 1700870284 Peter J Anderson, MD PC Orthopaedic Surgery Physician · Fenton, MO NPI 1568433639 Clayton R Perry, MD PC Orthopaedic Surgery Physician · Fenton, MO NPI 1891766754 Clayton Perry Orthopaedic Surgery Physician · Fenton, MO NPI 1518938463 Mark Grimm Otolaryngology Physician · Fenton, MO NPI 1942271689 Kurt Merkel Orthopaedic Surgery Physician · Fenton, MO NPI 1225006265 Brent Davidson Ophthalmology Physician · Fenton, MO NPI 1437127065
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-09-02.