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Deactivated NPI 1477591766 Deactivated / Inactive NPI Female Practitioner

Dr. Gloria Anna Rudisch , MD

Pediatrics • Brookline, MA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Gloria Anna Rudisch has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 02, 2006
NPI Deactivation Date April 17, 2024
Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Gloria Anna Rudisch, MD was a registered Pediatrics practicing in Brookline, MA. Throughout an active medical career spanning 18 years, Dr. Rudisch provided care at the practice location at 11 PIERCE ST until profile deactivation on 2024-04-17.

Practice Location & Contact Primary Location

Practice Address

11 Pierce St
Brookline Health Department

Brookline, MA 024457807

Telephone 6177302335
Associated Practice Facility / Clinic
🏢 Town Of Brookline Facility NPI 1326270455

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Brookline, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 25.7 Yrs
Regional Practice Density
27 Specialists

Practicing in Brookline, MA (2760 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MA 24756

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated April 17, 2024

Record deactivated on April 17, 2024

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 11 PIERCE ST, BROOKLINE HEALTH DEPARTMENT, BROOKLINE, MA 024457807 (Tel: 6177302335)

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Updated Business Mailing Address July 08, 2007

Registered at 111 IVY ST, BROOKLINE, MA 024464004 (Tel: 6177302335)

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Provider Name / Credentials Updated July 08, 2007

Recorded as GLORIA ANNA RUDISCH, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pediatrics (License #24756 in MA)

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Initial NPI Registration & Enumeration June 02, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1477591766
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 02, 2006
Last Update: July 08, 2007
Deactivation Date: April 17, 2024

Mailing Address

111 Ivy St

Brookline, MA 024464004

Phone: 6177302335

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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