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

Joseph Rudolph, MD

Individual provider Pediatrics Physician · NPI 1376561464

Joseph Rudolph, MD is a Pediatrics Physician in Fenton, Missouri. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
In the registry since
2006
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

1011 Bowles Ave Ste 300
Fenton, MO 63026-2395
Phone: (314) 496-5000
Fax: (314) 496-5015
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence MOR4E01 (MO)

Record details

NPI number1376561464
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 17, 2006
Last updated in NPPESSeptember 2, 2009
Mailing address10777 Sunset Office Dr, Suite 310, Saint Louis, MO 63127-1019

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