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

Bradley Rudolph

Individual provider Social Worker · NPI 1376019117

Bradley Rudolph is a Social Worker in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2018.

Licensed in
MI
In the registry since
2018

Practice location Address checks out

1939 S Division Ave
Grand Rapids, MI 49507
Phone: (616) 247-3815
Fax: (616) 245-0450
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 6801103455 (MI)

Record details

NPI number1376019117
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 19, 2018
Last updated in NPPESOctober 19, 2018

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