Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

BRISTAL GRACE RUDOLPH LLMSW
NPI 1922914936
Social Worker - School in Holly, MI

Q: What is Bristal Rudolph's NPI number?

The NPI number for Bristal Rudolph is 1922914936. It was assigned to this individual provider in the NPPES registry on August 20, 2026.

Q: What is Bristal Rudolph's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in School, with taxonomy code 1041S0200X.

Q: When was this NPI record last updated?

The NPPES record for Bristal Rudolph was last updated on August 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.

Active since August 20, 2026

6161 E HOLLY RD, HOLLY, MI 48442(248) 328-3200 Get Directions Write a Review

NPPES record added: August 20, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Bristal Grace Rudolph Llmsw NPPES

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

BRISTAL GRACE RUDOLPH LLMSW (NPI 1922914936) is an individual school provider in Holly, Michigan, licensed in Michigan (6851120022) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1922914936

Entity TypeIndividualFemale

Primary Taxonomy1041S0200X

Provider Legal NameBRISTAL GRACE RUDOLPHCredential: LLMSW

Location Address6161 E HOLLY RDHolly, MI 48442-9664

Mailing Address14470 N Holly RdHolly, MI 48442-8418 · (248) 328-3100

Phone(248) 328-3200

Sole ProprietorYes

Enumeration DateAugust 20, 2026

NPPES CertifiedAugust 20, 2026

✔ NPI 1922914936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · SchoolBehavioral Health & Social Service Providers

Taxonomy Code1041S0200X

License✔ Licensed in MI · 6851120022

6161 E HOLLY RD, Holly, MI 48442

Open in Google Maps ↗

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 Bristal Rudolph's NPI number?

The NPI number for Bristal Rudolph is 1922914936. It was assigned to this individual provider in the NPPES registry on August 20, 2026.

Where is Bristal Rudolph located?

Bristal Rudolph practices at 6161 E Holly Rd, Holly, MI 48442. The listed phone number is (248) 328-3200.

What is Bristal Rudolph's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in School, with taxonomy code 1041S0200X.

When was this NPI record last updated?

The NPPES record for Bristal Rudolph was last updated on August 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.