George David Hendricks Jr., M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

F6734 Issued in TX

Practice address

1201 Summit Ave
Fort Worth, TX 76102-4427

Phone

(817) 332-2020

Fax

(817) 332-4797

NPI assigned

Jun 24, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

92.66 of 100Reported as group

Quality

99.97

Improvement activities

40

Cost

75.57

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399939200000",
    "number": "1063418036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 SUMMIT AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761024427",
            "telephone_number": "817-332-2020",
            "fax_number": "817-332-4797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 SUMMIT AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761024427",
            "telephone_number": "817-332-2020",
            "fax_number": "817-332-4797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRICKS",
        "first_name": "GEORGE",
        "middle_name": "DAVID",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-24",
        "last_updated": "2014-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "F6734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "88Z910",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135564601",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135564603",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trudie Henderson, WHNP
• William B Henderson, ANP
• William Bradley Henderson, PA-C
• Allison Michelle Hendon, DO
• Jordan Hendon
• Gabriela Garcia Hendrickson
• Danielle Eager Hendrix, M.S., CCC-SLP
• Marilyn L Hendrix, CERTIFIED NURSES AID
• Michael Byrne Heninger, MSW
• Stacey Nabors Henley

• Ophthalmology Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Ophthalmology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.