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

Jackson Edward Rudolph, MD

Individual provider General Practice Physician · NPI 1760284673

Jackson Edward Rudolph, MD is a General Practice Physician in Bethesda, Maryland. Licensed in District of Columbia. Registered with an NPI since 2025.

Licensed in
DC
In the registry since
2025
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

8901 Rockville Pike
Bethesda, MD 20889-0001
Phone: (301) 295-4420
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence MTR600002530 (DC)

Record details

NPI number1760284673
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 24, 2025
Last updated in NPPESFebruary 12, 2026
Certification dateFebruary 12, 2026

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