Individual provider Active NPI

Brian Henning, CFNP

  • Family Nurse Practitioner
  • Hobbs, NM
National Provider Identifier
1144275637
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R42824 Issued in NM
Practice address
515 E Main St
Hobbs, NM 88240-8119
Phone
(505) 397-0560
Fax
(505) 397-0836
NPI assigned
May 23, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R42824 NM Primary

Addresses

Primary practice location

515 E Main St
Hobbs, NM 88240-8119

Mailing address

1927 N Fowler St
Hobbs, NM 88240-3330
Phone (505) 391-8108

Other identifiers 1

IdentifierTypeStateIssuer
26-927MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050311000000 NM Practitioner - Nurse Practitioner 8729032800 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eunice Special Hospital DistrictGroup PAC ID 4082667654, 3 clinicians

Practice addresses (Care Compare)

1109 Main Clinic
Eunice Health Clinic
Eunice, NM 88231-0239
Phone (575) 394-1091

1109 Main St
Eunice, NM 88231-0239

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R42824NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Eunice Special Hospital District CurrentSince Oct 19, 2015 Accepting new patients
Briarwood Clinic, LLC Family Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: brian.henning.1@28636.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144275637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1927 N FOWLER ST",
            "city": "HOBBS",
            "state": "NM",
            "postal_code": "882403330",
            "telephone_number": "505-391-8108",
            "fax_number": "505-397-0836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 E MAIN ST",
            "city": "HOBBS",
            "state": "NM",
            "postal_code": "882408119",
            "telephone_number": "505-397-0560",
            "fax_number": "505-397-0836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNING",
        "first_name": "BRIAN",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "R42824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "26-927",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hobbs, NM

Sources for this page

Verify at the official NPI Registry.