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

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

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