Gerald Brent Rudolph, LAC - Counselor in Bozeman, MT

Gerald Brent Rudolph, LAC is a Counselor - Addiction (substance Use Disorder) based in Bozeman, Montana. Gerald Brent Rudolph is licensed to practice in Montana (license number BBH-LAC-LIC-70217) and his current practice location is 2216 Boothill Ct Ste 3, Bozeman, Montana. He can be reached at his office (for appointments etc.) via phone at (406) 600-5007.

NPI number for Gerald Brent Rudolph is 1366295180 and his current mailing address is 2216 Boothill Ct Ste 3, Bozeman, Montana. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1366295180.

Contact Information

Gerald Brent Rudolph, LAC
2216 Boothill Ct Ste 3,
Bozeman, MT 59715-7215
(406) 600-5007
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameGerald Brent Rudolph
GenderMale
SpecialityCounselor - Addiction (substance Use Disorder)
Location2216 Boothill Ct Ste 3, Bozeman, Montana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1366295180
  • Provider Enumeration Date: 04/10/2024
  • Last Update Date: 05/21/2024

Medical Identifiers

Medical identifiers for Gerald Brent Rudolph such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366295180NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) BBH-LAC-LIC-70217 (Montana)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Gerald Brent Rudolph is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Gerald Brent Rudolph, LAC
2216 Boothill Ct Ste 3,
Bozeman, MT 59715-7215

Ph: (406) 600-5007
Gerald Brent Rudolph, LAC
2216 Boothill Ct Ste 3,
Bozeman, MT 59715-7215

Ph: (406) 600-5007

Reviews and Comments


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