DR. RICHARD JON RUDBERG (M.D.) – Family Medicine Physician, NPI 1124085279

Family Medicine Physician

DR. RICHARD JON RUDBERG (M.D.) is a healthcare provider. based in Hibbing, Minnesota. specializing in Family Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 31729 (MN). The NPI Number for DR. RICHARD JON RUDBERG (M.D.) is 1124085279

Main info

Male

39 Years Of Experience

Accepts Medicare Assignment

Name

DR. RICHARD JON RUDBERG (M.D.)

NPI

1124085279

Phone

(218) 262-3441

Address

3605 MAYFAIR AVE

Enumeration Date

1 May 2006

Last Update Date

20 September 2013

Doctor Profile

Medical School Name

UNIVERSITY OF MINNESOTA MEDICAL SCHOOL

Secondary Phone

2188852858

Graduation Year

1987 (39 years ago)

PAC ID

2860528197

Group Practice PAC ID

8022920024

Professional Enrollment ID

I20100325001073

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience54

Completeness75

Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. RICHARD JON RUDBERG (M.D.)

3605, Mayfair Avenue, Hibbing, Saint Louis County, Minnesota, 55746, United States
HIBBING, MN 557462923
Phone: (218) 262-3441
Fax: (218) 362-6989
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55746)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 8022920024View full group profile

Name	Specialty	State
DUSTIN DEAN LUCARELLI (MD)	General Surgery	WI
DAVID CHARLES NAGEL (MD)	-	MN
DR. WENDELL RHETT BONNER (MD)	Family Practice, Emergency Medicine	MN
JANEAN MARIE MCCUE (CNP)	-	MN
REBECCA ANN TERVO (APRN)	Nurse Practitioner	MN
DR. GWEN MINDA COOPER SIMON (MD)	-	AL
JOSHUA LECLAIRE (D.O.)	P A T H O L O G Y	ND
Unknown Individual	-	CA
KATHRYN E. FARNIOK (M.D.)	-	MN
DAVID FROW (MD)	-	OK

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Frequently asked questions

What unique ID ties claims to DR. RICHARD JON RUDBERG (M.D.)?

NPI 1124085279 is assigned to DR. RICHARD JON RUDBERG (M.D.) under the national enumeration system.

Is DR. RICHARD JON RUDBERG (M.D.)'s NPI currently valid?

The extract we use shows DR. RICHARD JON RUDBERG (M.D.) as active.

Can you summarize DR. RICHARD JON RUDBERG (M.D.)'s specialty in plain language?

Clinically, the directory lists DR. RICHARD JON RUDBERG (M.D.) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.

What location metadata exists for DR. RICHARD JON RUDBERG (M.D.)?

The page summarizes Hibbing, Minnesota for DR. RICHARD JON RUDBERG (M.D.); expand the address list for detail.

Does Medicare enrollment show here?

Medicare enrollment screens are separate from the basic NPI extract shown here.

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