Active NPI
Thomas Blake Hendrix, DO
- Internal Medicine Physician
- Brunswick, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- LT18023
- Practice address
- 123 Medical Center Dr
Brunswick, ME 04011-2652 - Phone
- (207) 373-6000
- NPI assigned
- Jan 3, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | LT18023 | ME | Primary |
Addresses
Primary practice location
123 Medical Center Dr
Brunswick, ME 04011-2652
Mailing address
520 SE 5TH Ave Apt 2104
Fort Lauderdale, FL 33301-2962
Other practice location 1
520 SE 5th Ave Apt 2104
Fort Lauderdale, FL 33301-2962
Phone (864) 642-5114
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Philadelphia College of Osteopathic Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1500 S Main St
John Peter Smith Hospital
Fort Worth, TX 76104-4917
Phone (817) 702-3431
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LT18023 | ME | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cogent Healthcare of Texas, PA | Internal Medicine | Current | Accepting new patients |
| Tower Health Medical Group | Internal Medicine | Current | Accepting new patients |
| Sound Inpatient Physicians of Texas I, Inc | Internal Medicine | Current | Accepting new patients |
| Tower Health Medical Group | Current | Accepting new patients | |
| Tower Health Medical Group | Internal Medicine | Current | Accepting new patients |
| Sound Inpatient Physicians of Texas I, Inc | Internal Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Texas, PLLC | Internal Medicine | Current | Accepting new patients |
| Tarrant County Hospital District | Past | Accepting new patients |
Locations
420 S 5th Ave
West Reading, PA 19611
Phone (484) 628-3637
301 S 7th Ave
Ste 130
West Reading, PA 19611
Phone (610) 988-4630
2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127
5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674
12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530
1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431
18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409
2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000
2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Humble, TX
- NPI 1629307095
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1992722953
-
- Family Medicine Physician
- Sugar Land, TX
- NPI 1831424563
Internal Medicine
-
dba Internal Medicine - Tower Health Medical Group
- Internal Medicine Physician
- Birdsboro, PA
- NPI 1609291350
-
- Hospitalist Physician
- San Antonio, TX
- NPI 1811321797
Internal Medicine
-
dba Breast Health Center Wyomissing Tower Health Medical Group
- Surgery Physician
- Wyomissing, PA
- NPI 1831954353
-
dba Family Medicine - Tower Health Medical Group
- Family Medicine Physician
- Wyomissing, PA
- NPI 1982029633
Internal Medicine
-
dba JPS Health Network
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1992753222
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba JPS Health Network
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1992753222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540339200000",
"number": "1073020707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 SE 5TH AVE APT 2104",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333012962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 MEDICAL CENTER DR",
"city": "BRUNSWICK",
"state": "ME",
"postal_code": "040112652",
"telephone_number": "207-373-6000"
}
],
"practiceLocations": [
{
"address_1": "520 SE 5th Ave Apt 2104",
"address_purpose": "LOCATION",
"city": "Fort Lauderdale",
"state": "FL",
"postal_code": "333012962",
"country_code": "US",
"telephone_number": "864-642-5114",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HENDRIX",
"first_name": "THOMAS",
"middle_name": "BLAKE",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-01-03",
"last_updated": "2018-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "ME",
"license": "LT18023",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brunswick, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.