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NPI · 1124258223 · NPPES-sourced

Glen Rudolph M.D.

ActiveOrthopaedic Surgery
NPI Number
1124258223
Type 1 · Individual
Taxonomy Code
207X00000X
Contact
(218) 722-5513
License MN · 50713
Last Updated
Enumerated
Primary practice addressMN · 55805-2297
1000 E 1st St Ste 404Duluth, MN 55805-2297
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About this NPIWhat this record shows.

NPI 1124258223 is registered to Glen Rudolph M.D., a Orthopaedic Surgery practising at 1000 E 1st St Ste 404 in Duluth, Minnesota. Orthopaedic Surgery is a medical specialty focused on injuries and disorders of the musculoskeletal system, including bones, joints, ligaments, tendons, and muscles. Glen Rudolph M.D. has been enumerated in the National Provider Identifier (NPI) registry since 2009.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Medicare enrollment

This provider holds 2 Medicare enrollments on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Glen Rudolph M.D. accepts. To confirm in-network status with your specific health plan, contact Glen Rudolph M.D. directly at (218) 722-5513.

Frequently asked

Yes. NPI 1124258223 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Orthopaedic Surgery is a medical specialty focused on injuries and disorders of the musculoskeletal system, including bones, joints, ligaments, tendons, and muscles.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (218) 722-5513.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Glen Rudolph M.D. is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy207X00000X
Last updated
Enumerated
StatusActive
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1 record · same addressOther providers at this location.

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Same specialtyOther Orthopaedic Surgery providers in Minnesota.

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