Bryan E Hendrix, DPM

Individual provider Active NPI Podiatrist · Indianapolis, IN

NPI 1285620732 · NPPES record last updated Jan 20, 2011

Key facts

NPI
1285620732
Entity type
Individual (NPI type 1)
Primary specialty
Podiatrist 213E00000X
License
07000510A (IN)
Practice address
8780 Purdue Rd
Suite # 7
Indianapolis, IN 46268-6129
Phone
(317) 471-8701
Fax
(317) 471-8702
NPI assigned
Sep 21, 2005
Sex
Male
Sole proprietor
No

Organizations & group practices 4

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.

Medicare Care Compare profile

Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12095 Chapelwood Dr
Fishers, IN 46037-4235
Phone (317) 730-4910

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100 (individual)
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1786
Removal or shaving of skin growth116

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20110420000518 IN Practitioner - Podiatry 2961687751 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
07000510AINMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Patient Care Services Team Current
since Sep 16, 2014
Accepting new patients
Family Foot and Ankle Center Inc Podiatrist Past Accepting new patients
Indiana University Health Southern Indiana Physicians, LLC Past Accepting new patients
The Foot and Ankle Center LLC Podiatrist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X 07000510A IN
Podiatrist 213E00000X 07000510A IN Yes

Addresses

Primary practice location

8780 Purdue Rd
Suite # 7
Indianapolis, IN 46268-6129

Mailing address

8780 Purdue Rd
Suite # 7
Indianapolis, IN 46268-6129
Phone (317) 471-8701

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 20, 2011.

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295481600000",
    "number": "1285620732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8780 PURDUE RD",
            "address_2": "SUITE # 7",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462686129",
            "telephone_number": "317-471-8701",
            "fax_number": "317-471-8702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8780 PURDUE RD",
            "address_2": "SUITE # 7",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462686129",
            "telephone_number": "317-471-8701",
            "fax_number": "317-471-8702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRIX",
        "first_name": "BRYAN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-21",
        "last_updated": "2011-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "IN",
            "license": "07000510A",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IN",
            "license": "07000510A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

All providers in Indianapolis, IN · Podiatrist in Indiana

Sources for this page

Verify at the official NPI Registry.