BRENT A RUDISEL (NPI# 1477652287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477652287 |
| Entity Type | Individual |
| Full Name | BRENT A RUDISEL |
| Credential | D.O. |
| Practice Address |
503a N 1st St Fairfield IL 62837-2443 |
| Practice Telephone | 6188422491 |
| Practice Fax Number | 6188422497 |
| Mailing Telephone | 6188422491 |
| Mailing Fax Number | 6188422497 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2020-03-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 036111757 | IL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1201 Pine St, Eldorado, IL 629301634 | 6182733361 | 6182732571 |
| Street Address |
503A N 1ST ST |
| City | FAIRFIELD |
| State | IL |
| Zip Code | 62837-2443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033115043 | Andrew M Britt | Emergency Medicine | 503a N 1st St, Fairfield, IL 62837-2443 | 2005-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881294619 | Katelyn Atteberry | Pharmacist | 150 Commerce Drive, Fairfield, IL 62837 | 2020-10-30 |
| 1265894521 | Rebecca August | Social Worker | 506 Nw 9th St, Fairfield, IL 62837 | 2016-03-25 |
| 1063814259 | Kathie L Hill | Social Worker | 303 Nw 11th St., Fairfield Memorial Hospital, Fairfield, IL 62837 | 2014-09-19 |
| 1912206731 | Way-fair Nursing and Rehabilitation Center, LLC | Skilled Nursing Facility | 305 Northwest 11th Street, Fairfield, IL 62837 | 2011-03-18 |
| 1063600773 | Alvin Ewing | Counselor | 407 N. Basin Road, Fairfield, IL 62837 | 2007-10-09 |
| 1417145129 | Gilbert Tennyson | Counselor | 407 North Basin Rd, Fairfield, IL 62837 | 2007-10-09 |
| 1972791689 | Clint Harvey | Counselor | 407 North Basin Road, Fairfield, IL 62837 | 2007-10-09 |
| 1770789778 | Fairfield Estates, LLC | Point of Service | 315 North Market Street, Fairfield, IL 62837 | 2007-06-26 |
| 1346382207 | Robert E Lowry | Counselor | 407 N Basin Rd., Fairfield, IL 62837 | 2007-02-13 |
| 1790840825 | Bradley D Kramer | Dentist | 301 Nw 11th Street, Suite 212, Fairfield, IL 62837 | 2006-12-27 |
| Find all providers in zip 62837 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407201247 | Keith Bradley | Emergency Medicine | 66 Lilalyn Dr, Fairfield, CT 06825-1310 | 2016-04-29 |
| 1003189481 | Eduardo Soloria | Emergency Medicine | 2405 Clara Bea Ln, Fairfield, OH 45014-3974 | 2012-02-16 |
| 1659543544 | Enon Gap Emergency Physicians | Emergency Medicine | 701 Richard M Scrushy Pkwy, Fairfield, AL 35064-2660 | 2008-03-31 |
| 1780755439 | John Scott Bomann | Emergency Medicine | 1235 Mine Hill Rd, Fairfield, CT 06824-2071 | 2006-11-13 |
| 1568485100 | Steven M Heffer | Emergency Medicine | 201 Whites Hill Ln, Fairfield, CT 06824-2177 | 2006-07-25 |
| 1104853191 | Mark Popil | Emergency Medicine | Northbay Medical Center, 1200 B Gale Wilson Blvd, Fairfield, CA 94533 | 2006-06-27 |
| 1760419824 | William Andrew Ankney | Emergency Medicine | Northbay Medical Center - Fairfield, 1200 B Gale Wilson Blvd, Fairfield, CA 94533 | 2006-06-26 |
| 1073579470 | Denise Z Harrison | Emergency Medicine | 401 W Kirkwood Ave, Fairfield, IA 52556-2410 | 2006-04-25 |
| 1356311708 | Larry D. Sutton | Emergency Medicine | 1829 Highway 1, Fairfield, IA 52556-9001 | 2006-01-26 |
| 1255312765 | Michael J. Eisner | Emergency Medicine | 1202 N B St, Fairfield, IA 52556-2084 | 2005-11-10 |
| Find all providers in FAIRFIELD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.