GERALD BRENT RUDOLPH LAC
NPI 1366295180
Counselor - Addiction (Substance Use Disorder) in Bozeman, MT

Active since April 10, 2024
2216 BOOTHILL CT STE 3, BOZEMAN, MT 59715(406) 600-5007 Get Directions Write a Review

NPPES record last updated: May 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gerald Brent Rudolph Lac NPPES

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

GERALD BRENT RUDOLPH LAC (NPI 1366295180) is an individual addiction (substance use disorder) provider in Bozeman, Montana, licensed in Montana (BBH-LAC-LIC-70217) and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1366295180
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameGERALD BRENT RUDOLPHCredential: LAC
Location Address2216 BOOTHILL CT STE 3Bozeman, MT 59715-7215
Mailing Address2216 Boothill Ct Ste 3Bozeman, MT 59715-7215 · (406) 600-5007
Sole ProprietorNo
Enumeration DateApril 10, 2024
Last NPPES UpdateMay 21, 2024
NPPES CertifiedMay 21, 2024
NPI 1366295180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in MT · BBH-LAC-LIC-70217
2216 BOOTHILL CT STE 3, Bozeman, MT 59715

Accepted Insurance

Other Providers at the Same Location NPPES 6

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

Counselor (Addiction (Substance Use Disorder))
2216 BOOTHILL CT STE 3
BOZEMAN, MT 59715
Counselor (Addiction (Substance Use Disorder))
2216 BOOTHILL CT STE 3
BOZEMAN, MT 59715
Counselor (Addiction (Substance Use Disorder))
2216 BOOTHILL CT STE 3
BOZEMAN, MT 59715
Counselor (Professional)
2216 BOOTHILL CT STE 3
BOZEMAN, MT 59715
Counselor (Addiction (Substance Use Disorder))
2216 BOOTHILL CT STE 3
BOZEMAN, MT 59715
Counselor (Addiction (Substance Use Disorder))
2216 BOOTHILL CT STE 3
BOZEMAN, MT 59715

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 Gerald Rudolph's NPI number?

The NPI number for Gerald Rudolph is 1366295180. It was assigned to this individual provider in the NPPES registry on April 10, 2024.

Where is Gerald Rudolph located?

Gerald Rudolph practices at 2216 Boothill Ct Ste 3, Bozeman, MT 59715. The listed phone number is (406) 600-5007.

What is Gerald Rudolph's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

What insurance does Gerald Rudolph accept?

Health plans from Blue Cross and Blue Shield of Montana and Mountain Health CO-OP list Gerald Rudolph as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gerald Rudolph was last updated on May 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.