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

Individual provider Surgery Physician · NPI 1679548614

Rudolph B. Rustin III, MD is a Surgery Physician in Charlottesville, Virginia. Licensed in South Carolina and Virginia. Registered with an NPI since 2006.

Licensed in
SC, VA
In the registry since
2006
Specialties on file
3
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

1300 Jefferson Park Ave 4th Fl
Charlottesville, VA 22903-3363
Phone: (434) 982-4411
Fax: (434) 924-2260
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 0101258483 (VA)
Surgery Physician Taxonomy 208600000X · Licence 14302 (SC)
Colon & Rectal Surgery Physician Taxonomy 208C00000X · Licence 14302 (SC)

Record details

NPI number1679548614
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 22, 2006
Last updated in NPPESSeptember 9, 2016
Mailing addressPo Box 9007, Charlottesville, VA 22906-9007

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