Individual provider Active NPI

Bryan E Hendrix, DPM

  • Podiatrist
  • Indianapolis, IN
National Provider Identifier
1285620732
Registry record updated Jan 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
07000510A Issued in 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
Last updated
Jan 20, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2011

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

Specialties & licenses 2

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

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

Medicare participation

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

Enrollment records 1

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

Care Compare profile

Medicare Care Compare
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 100Reported as 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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
07000510AINMDPodiatrist

Practice roles

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "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

Verify at the official NPI Registry.