NPI age
13 years
Enumerated 2013-04-03
● Active
Type 1 · Individual
DR. John Bradley Rudolph, D.O.
Rudolph is 1 of 23 family medicine providers in Lewiston and 1 of 1691 in Idaho.
Primary specialty
Family Medicine
Plus 1 subspecialty
Licensed in
ID, WA
2 states
Status
Active
No deactivations on record
Last NPPES update
2024-12-26
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 1691 active family medicine providers in Idaho.
NPI age
13 years
↓ 4 yr below median (17 yr)
State licenses
2 states
Top 85% — 14% of peers are multi-state
Subspecialties
0
31% of peers hold subspecialties
NPI lifetime · 2013 → 2026
2013-04Enumerated in NPPES
2013
2026
Where they practice
Practice location
415 6th St Ste 3c
Lewiston, ID 835012431
Mailing address
415 6th Street, Attn: Physician Services
Lewiston, ID 835012434
Additional practice locations
1 secondary location on file with NPPES.
Location 2
1119 Highland Ave
Clarkston, WA 994032836
Specialties
-
Family Medicine PrimaryFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
Practice context
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
Provyx · Custom healthcare lists
Need all 1691 Family Medicine providers in Idaho?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.