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THEODORE L RUDBERG MD PC
NPI 1184988115
Family Medicine in Phoenix, AZ

Active since June 25, 2012
777 E MISSOURI AVE, STE 225, PHOENIX, AZ 85014(602) 263-8958(602) 277-5661 Get Directions Write a Review

NPPES record last updated: June 25, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Theodore L Rudberg Md Pc NPPES

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

THEODORE L RUDBERG MD PC (NPI 1184988115) is a healthcare organization registered as a family medicine in Phoenix, Arizona and active in the NPI registry since June 2012. The organization lists Theodore L Rudberg, President, as its authorized official.

NPPES Registry Identity

NPI1184988115
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameTHEODORE L RUDBERG MD PC
Location Address777 E MISSOURI AVE, STE 225Phoenix, AZ 85014-2830
Mailing Address5430 E Sapphire LnParadise Valley, AZ 85253-2533 · (602) 410-3293 · Fax (480) 348-9679
Phone(602) 263-8958
Fax(602) 277-5661
Organization SubpartNo
Authorized OfficialTheodore L RudbergPresident · (602) 410-3293
Enumeration DateJune 25, 2012
✔ NPI 1184988115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AZ · 11018
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
777 E MISSOURI AVE, Phoenix, AZ 85014
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Other Identifiers 2

Medicaid245309AZ
Medicare PIN0000BGJNCAZ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEREMIAH D ISBELL PSYD
Psychologist
777 E MISSOURI AVE
PHOENIX, AZ 85014
Maricopa County (602) 570-4038
GUSTAVO FRANZA
Community/Behavioral Health
777 E MISSOURI AVE
PHOENIX, AZ 85014
Maricopa County (602) 430-1458

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 L Rudberg MD PC's NPI number?

The NPI number for Theodore L Rudberg MD PC is 1184988115. It was assigned to this organization in the NPPES registry on June 25, 2012.

Where is Theodore L Rudberg MD PC located?

Theodore L Rudberg MD PC is located at 777 E Missouri Ave Ste 225, Phoenix, AZ 85014. The listed phone number is (602) 263-8958.

What is Theodore L Rudberg MD PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Theodore L Rudberg MD PC was last updated on June 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.