GARRETT DAVID RUCKER MD
NPI 1811647183
Student in an Organized Health Care Education/Training Program in Norfolk, VA

Active since March 28, 2022PECOS Enrolled
600 GRESHAM DR, NORFOLK, VA 23507(757) 388-3000 Get Directions Write a Review

NPPES record last updated: June 29, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Garrett David Rucker Md NPPES

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

GARRETT DAVID RUCKER MD (NPI 1811647183) is an individual student in an organized health care education/training program in Norfolk, Virginia, licensed in Virginia (0116038107) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811647183
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameGARRETT DAVID RUCKERCredential: MD
Location Address600 GRESHAM DRNorfolk, VA 23507-1904
Mailing AddressPo Box 1980Norfolk, VA 23501-1980 · (757) 388-1141 · Fax (757) 388-1140
Sole ProprietorNo
Enumeration DateMarch 28, 2022
Last NPPES UpdateJune 29, 2023
NPPES CertifiedJune 29, 2023
NPI 1811647183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in VA · 0116038107
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
600 GRESHAM DR, Norfolk, VA 23507

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Garrett David Rucker Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Family)
600 GRESHAM DR
NORFOLK, VA 23507
Audiologist
600 GRESHAM DR, SUITE 1100
NORFOLK, VA 23507
Student in an Organized Health Care Education/Training Program
600 GRESHAM DR
NORFOLK, VA 23507
Student in an Organized Health Care Education/Training Program
600 GRESHAM DR
NORFOLK, VA 23507
Student in an Organized Health Care Education/Training Program
600 GRESHAM DR
NORFOLK, VA 23507
Physical Therapist
600 GRESHAM DR
NORFOLK, VA 23507
Anesthesiology
600 GRESHAM DR
NORFOLK, VA 23507
Nurse Anesthetist, Certified Registered
600 GRESHAM DR
NORFOLK, VA 23507

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 Garrett Rucker's NPI number?

The NPI number for Garrett Rucker is 1811647183. It was assigned to this individual provider in the NPPES registry on March 28, 2022.

Where is Garrett Rucker located?

Garrett Rucker practices at 600 Gresham Dr, Norfolk, VA 23507. The listed phone number is (757) 388-3000.

What is Garrett Rucker's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Garrett Rucker enrolled in Medicare?

Yes. Garrett Rucker is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Garrett Rucker was last updated on June 29, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.