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

Carl Thomas Rudebusch, MD

Individual provider Family Medicine Physician · NPI 1568969236

Carl Thomas Rudebusch, MD is a Family Practice in Richmond, Virginia. Graduated from Virginia Commonwealth University, School of Medicine in 2018, 8 years ago. Practices with Pmr Virginia Holding LLC, a 19-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
8
Trained at
Virginia Commonwealth University, School of Medicine
Licensed in
VA
In the registry since
2018
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

1712 E Broad St
Richmond, VA 23223-6930
Phone: (804) 344-9848
Fax: (804) 554-5395
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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 0101272980 (VA)

Record details

NPI number1568969236
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 10, 2018
Last updated in NPPESJune 9, 2022
Certification dateJune 9, 2022

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolVIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Pmr Virginia Holding Llc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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