Dr. Brian T Ruddell is a Lewiston, Idaho based male chiropractor with 39 years of experience in General Chiropractor. He completed his graduation from Palmer College Chiropractic - West Sunnyvale in 1985. He may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. Active license number of Dr. Brian T Ruddell as General Chiropractor is CHIA503 in Idaho. Dr. Brian T Ruddell is qualified as a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Complete Profile:
Dr. Brian T Ruddell speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Chiropractor
Credentials:
DC
Experience:
39+ years
Medical School Attended:
Palmer College Chiropractic - West Sunnyvale
Graduation Year:
1985
Gender:
Male
Accepts Medicare Assignment:
May Accept
Practice Address:
1117 16th Avenue, Lewiston, Idaho, 83501
Phone:
208-743-8401
Fax:
208-743-8722
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
6103088539
Enrollment ID:
I20120510000637
NPI Number:
1770648388
NPI Enumeration Date:
26 Dec, 2006
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Brian T Ruddell are as mentioned below.
License Number
Specialization
State
Status
CHIA503
Chiropractor
Idaho
Primary
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Brian T Ruddell is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Ruddell Chiropractic Clinic (5395907729)
2
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Brian T Ruddell such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
C5030
Other
Idaho
BLUESCROSS
000010018610
Other
Idaho
REGENCE
38266
Other
DEPT OF LABOR AND INDUSTR
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1117 16th Avenue, Lewiston, Idaho
Zip:
83501
Phone Number:
208-743-8401
Fax Number:
208-743-8722
Patients can reach Dr. Brian T Ruddell at 1117 16th Avenue, Lewiston, Idaho or can call to book an appointment on 208-743-8401. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.