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
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
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1786 |
| Removal or shaving of skin growth | 116 |
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110420000518 | IN | Practitioner - Podiatry | 2961687751 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07000510A | IN | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Patient Care Services Team | Current |
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 20, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.