Individual provider Active NPI

Benjamin Reid Henderson, M.D.

  • Diagnostic Radiology Physician
  • Greenville, SC
National Provider Identifier
1295946564
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
92545 Issued in SC
Practice address
1210 W Faris Rd
Greenville, SC 29605-4444
Phone
(864) 522-1800
Fax
(864) 522-1806
NPI assigned
May 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD.202606 LA
Vascular & Interventional Radiology Physician 2085R0204X MD.202606 LA
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X 92545 SC Primary

Addresses

Primary practice location

1210 W Faris Rd
Greenville, SC 29605-4444

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 522-8603

Other practice location 1

4801 Ambassador Caffery Pkwy
Dept of Radiology
Lafayette, LA 70508-6917
Phone (337) 470-2180

Other identifiers 1

IdentifierTypeStateIssuer
50964MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140424000518 LA Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 7517101249 Reassigns benefits to 4 organizations
I20240925000265 SC Practitioner - Diagnostic Radiology 7517101249 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Louisiana State University School of Medicine in Shreveport, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prisma Health University Medical GroupGroup PAC ID 8325950983, shared by 5 NPIs, 2,467 clinicians
Diagnostic Imaging ServicesGroup PAC ID 7618872102, 22 clinicians
Leconte Radiology PCGroup PAC ID 1850373705, 31 clinicians

Practice addresses (Care Compare)

1210 W Faris Rd
Greenville, SC 29605-4444
Phone (864) 522-1800

1519 Marion St
Columbia, SC 29201-2910
Phone (803) 296-5954

4241 Veterans Blvd
Suite 100
Metairie, LA 70006-5430
Phone (504) 888-7921

5 Richland Medical Park Dr
Columbia, SC 29203-6863
Phone (803) 434-2168

Hospital & facility affiliations

  • Prisma Health Richland Hospital Hospital, Columbia, SC, CCN 420018
  • Prisma Health Baptist Hospital, Columbia, SC, CCN 420086
  • Prisma Health Tuomey Hospital Hospital, Sumter, SC, CCN 420070
  • Prisma Health Baptist Parkridge Hospital, Columbia, SC, CCN 420106
  • Newberry County Memorial Hospital Hospital, Newberry, SC, CCN 420053

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
84.33 of 100Reported as group
Quality
75.48
Promoting interoperability
100
Improvement activities
40
Cost
72.29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD.202606LAMDDiagnostic Radiology Physician
92545SCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health Imaging Centers, LLC CurrentSince Jul 30, 2024 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Nov 1, 2024 Accepting new patients
Prisma Health Imaging Centers, LLC CurrentSince Sep 10, 2025 Accepting new patients
Diagnostic Imaging Services CurrentSince Dec 1, 2024 Accepting new patients
Prisma Health Imaging Centers, LLC CurrentSince Aug 8, 2025 Accepting new patients
Prisma Health University Medical Group Diagnostic Radiology CurrentSince Sep 30, 2024 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Nov 1, 2024 Accepting new patients
Prisma Health Imaging Centers, LLC CurrentSince Feb 9, 2026 Accepting new patients
Leconte Radiology PC Diagnostic Radiology CurrentSince Sep 1, 2025 Accepting new patients
Radiology Associates of Southwest Louisiana Diagnostic Radiology CurrentSince Apr 1, 2020 Accepting new patients
Prisma Health University Medical Group Diagnostic Radiology CurrentSince Sep 30, 2024 Accepting new patients
Prisma Health University Medical Group CurrentSince Sep 30, 2024 Accepting new patients
Prisma Health Imaging Centers, LLC CurrentSince Jul 29, 2024 Accepting new patients
Prisma Health Imaging Centers, LLC CurrentSince Sep 17, 2025 Accepting new patients
Radiology & Interventional Associates of Metairie LLC Diagnostic Radiology CurrentSince Jul 1, 2017 Accepting new patients
Louisiana Pet Imaging of Alexandria, LLC Past Accepting new patients
Second Avenue MRI LLC Diagnostic Radiology PastSince Jul 19, 2014 Accepting new patients
Tulane University Medical Group Past Accepting new patients
Precision Radiology Management of Louisiana LLC Diagnostic Radiology Past Accepting new patients

Locations (25 of 44)

3425 North Blvd
Ste A
Alexandria, LA 71301
Phone (318) 473-1921

3311 Prescott Rd
Ste 4001
Alexandria, LA 71301

5419 Jackson Street Ext
#A
Alexandria, LA 71303
Phone (318) 441-2226

211 4th St
Alexandria, LA 71301
Phone (318) 473-3000

3330 Masonic Dr
Alexandria, LA 71301
Phone (318) 448-6917

221 Windermere Blvd
Alexandria, LA 71303
Phone (318) 427-3300

224 Pecan Park Ave
Alexandria, LA 71303
Phone (318) 427-7900

651 N Bolton Ave
Alexandria, LA 71301
Phone (318) 443-3511

3704 North Blvd
Alexandria, LA 71301
Phone (318) 448-8211

5413 Jackson Street Ext
Alexandria, LA 71303
Phone (318) 442-8399

301 4th St
Alexandria, LA 71301
Phone (318) 441-1030

3311 Prescott Rd
Ste 100
Alexandria, LA 71301
Phone (318) 442-3384

71154 Highway 21
Covington, LA 70433
Phone (985) 463-5476

95 Judge Tanner Blvd
Covington, LA 70433
Phone (504) 867-3800

600 S Pine St
Deridder, LA 70634
Phone (337) 462-7100

187 Ninth St
Jena, LA 71342
Phone (318) 992-9200

600 Bayou Pines East Dr
Ste A
Lake Charles, LA 70601
Phone (337) 493-5310

1750 Ryan St
Lake Charles, LA 70601
Phone (337) 433-3001

2770 3rd Ave
Ste 125
Lake Charles, LA 70601
Phone (337) 494-2674

1747 Imperial Blvd
Ste B
Lake Charles, LA 70605
Phone (337) 312-8284

524 Dr Michael Debakey Dr
Lake Charles, LA 70601
Phone (337) 430-4455

1701 Oak Park Blvd
Lake Charles, LA 70601
Phone (337) 494-3000

1000 Walters St
Lake Charles, LA 70607
Phone (337) 475-8687

1601 Country Club Rd
Lake Charles, LA 70605
Phone (337) 439-7778

4200 Nelson Rd
Lake Charles, LA 70605
Phone (318) 474-6370

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GCFJBA
  • Direct secure messaging: bhenderson818630@direct.ghs.myhfn.org

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 12

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": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1295946564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842",
            "telephone_number": "864-522-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 W FARIS RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054444",
            "telephone_number": "864-522-1800",
            "fax_number": "864-522-1806"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4801 Ambassador Caffery Pkwy",
            "address_2": "Dept of Radiology",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "LA",
            "postal_code": "705086917",
            "country_code": "US",
            "telephone_number": "337-470-2180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "BENJAMIN",
        "middle_name": "REID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-25",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "LA",
            "license": "MD.202606",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "LA",
            "license": "MD.202606",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "SC",
            "license": "92545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50964",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.