TIMOTHY RUDOLPH MD PA
NPI 1932768264
Family Medicine in Hamilton, TX
About Timothy Rudolph Md Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TIMOTHY RUDOLPH MD PA (NPI 1932768264) is a healthcare organization registered as a family medicine in Hamilton, Texas and active in the NPI registry since June 2019. The organization lists Brenda L Hardin, Ofc Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Timothy Rudolph Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Timothy Rudolph MD PA, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Timothy Rudolph MD PA's NPI number?
The NPI number for Timothy Rudolph MD PA is 1932768264. It was assigned to this organization in the NPPES registry on June 11, 2019.
Where is Timothy Rudolph MD PA located?
Timothy Rudolph MD PA is located at 400 N Brown St, Hamilton, TX 76531. The listed phone number is (254) 386-1600.
What is Timothy Rudolph MD PA's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Timothy Rudolph MD PA enrolled in Medicare?
Yes. Timothy Rudolph MD PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Timothy Rudolph MD PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Timothy Rudolph MD PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Timothy Rudolph MD PA was last updated on June 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Timothy Rudolph Md Pa · NPI 1932768264
Family Medicine organization in Hamilton, Texas. Organization record, active in the CMS NPPES registry since June 11, 2019.
## Identity
- **NPI:** 1932768264 (Entity type: Organization)
- **Enumerated:** June 11, 2019
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Brenda Hardin, OFC CEO
## Practice location
- **Address:** 400 N BROWN ST, Hamilton, TX 76531-1518
- **Phone:** (254) 386-1600 · **Fax:** (254) 386-4950
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 11, 2019
- **Other identifiers:** Medicaid 199796703 (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1932768264) · Data from the CMS NPPES public registry.