IndividualActive
Joseph Rudolph, M.D.
NPI 1376561464 · Pediatrics Physician · Fenton, MO
Provider details
- NPI number
- 1376561464
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MOR4E01 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1011 Bowles Ave
Suite 300
Fenton, MO 63026-2395
Phone: (314) 496-5000
Fax: (314) 496-5015
Street-level locationGet directions
Mailing address
10777 Sunset Office Dr
Saint Louis, MO 63127-1019
Registry dates
- Enumerated
- 2006-07-17
- Last updated
- 2009-09-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.