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

Carla Rudolph, DO

Individual provider General Practice Physician · NPI 1104182328

Carla Rudolph, DO is a General Practice Physician in Edgewood, New Mexico. Licensed in New Mexico. Registered with an NPI since 2012.

Licensed in
NM
In the registry since
2012
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

1851 Old US 66
Edgewood, NM 87015-7200
Phone: (505) 286-2396
Show map & directions

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

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence A-1770-13 (NM)

Record details

NPI number1104182328
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 2, 2012
Last updated in NPPESMay 4, 2020
Certification dateMay 4, 2020
Mailing address1851 Old Us 66, Edgewood, NM 87015-7200