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

Michiel Brent Rudder, FNPMSW

Individual provider Family Medicine Physician · NPI 1841287109

Michiel Brent Rudder, FNPMSW is a Nurse Practitioner in Bolivar, Tennessee. Qualified in 2001, 25 years ago. Practices with Physicians Quality Care PLLC, a 7-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
25
Licensed in
TN
In the registry since
2005

Practice location Address checks out

622 W Market St
Bolivar, TN 38008
Phone: (731) 658-4500
Fax: (731) 658-4545
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence RN131561 (TN)

Record details

NPI number1841287109
Entity typeIndividual (Type 1)
GenderMale
Credentials FNPMSW
Sole proprietorNo
NPI enumeratedOctober 3, 2005
Last updated in NPPESMarch 7, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Physicians Quality Care Pllc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Bolivar