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DR. THEODORE L RUDBERG MD
NPI 1033100615
Family Medicine - Geriatric Medicine in Paradise Valley, AZ

Active since November 02, 2005
5430 E SAPPHIRE LN, PARADISE VALLEY, AZ 85253(602) 410-3293 Get Directions Write a Review

NPPES record last updated: April 3, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Theodore L Rudberg Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. THEODORE L RUDBERG MD (NPI 1033100615) is an individual geriatric medicine provider in Paradise Valley, Arizona, licensed in Arizona (11018) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1033100615
Entity TypeIndividualMale
Primary Taxonomy207QG0300X
Provider Legal NameDR. THEODORE L RUDBERGCredential: MD
Location Address5430 E SAPPHIRE LNParadise Valley, AZ 85253-2533
Mailing Address5430 E Sapphire LnParadise Valley, AZ 85253-2533 · (602) 410-3293
Phone(602) 410-3293
Sole ProprietorYes
Enumeration DateNovember 2, 2005
Last NPPES UpdateApril 3, 2014
✔ NPI 1033100615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
License✔ Licensed in AZ · 11018
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
5430 E SAPPHIRE LN, Paradise Valley, AZ 85253
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Other Identifiers 3

Medicaid0000BGJNCAZ
Medicare UPIND00218
Other029229Am. Board Of Family Pract

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theodore Rudberg's NPI number?

The NPI number for Theodore Rudberg is 1033100615. It was assigned to this individual provider in the NPPES registry on November 2, 2005.

Where is Theodore Rudberg located?

Theodore Rudberg practices at 5430 E Sapphire Ln, Paradise Valley, AZ 85253. The listed phone number is (602) 410-3293.

What is Theodore Rudberg's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

When was this NPI record last updated?

The NPPES record for Theodore Rudberg was last updated on April 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.