Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Benjamin David Rudd, MD

Individual provider Family Medicine Physician · NPI 1609035716

Benjamin David Rudd, MD is a Family Practice in Watertown, New York. Graduated from State University of Ny Upstate Medical University in 2005, 21 years ago. Practices with Samaritan Medical Center, a 158-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
21
Trained at
State University of Ny Upstate Medical University
Licensed in
NY
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

830 Washington St
Watertown, NY 13601-4099
Phone: (315) 785-7300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 249786 (NY)

Record details

NPI number1609035716
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 4, 2008
Last updated in NPPESApril 26, 2019
Mailing address1575 Washington St, Watertown, NY 13601-9371

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolSTATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated 2005 (21 years in practice)
Group practice Samaritan Medical Center — 158 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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