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

Theodor Major Rudolph, MD

Individual provider Pediatric Dermatology Physician · NPI 1700861382

Theodor Major Rudolph, MD is a Dermatology in Vero Beach, Florida. Graduated from University of Colorado School of Medicine, Denver in 1996, 30 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
30
Trained at
University of Colorado School of Medicine, Denver
Licensed in
FL
In the registry since
2005
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

3900 20th St
Vero Beach, FL 32960-2413
Phone: (772) 299-4000
Fax: (772) 299-4001
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence ME79805 (FL)
Pediatric Dermatology Physician Taxonomy 207NP0225X · Licence ME79805 (FL)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence ME79805 (FL)
Procedural Dermatology Physician Taxonomy 207NS0135X · Licence ME79805 (FL)

Record details

NPI number1700861382
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedDecember 7, 2005
Last updated in NPPESSeptember 14, 2020
Certification dateSeptember 14, 2020

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolUNIVERSITY OF COLORADO SCHOOL OF MEDICINE, DENVER
Graduated 1996 (30 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount