Active NPI
Benjamin Reid Henderson, M.D.
- Diagnostic Radiology Physician
- Greenville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 92545
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50964 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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 Group
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
- Prisma Health Baptist
- Prisma Health Tuomey Hospital
- Prisma Health Baptist Parkridge
- Newberry County Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.33 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| MD.202606 | LA | MD | Diagnostic Radiology Physician |
| 92545 | SC | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Health Imaging Centers, LLC | Current | Accepting new patients | |
| Administrators of the Tulane Educational Fund | Current | Accepting new patients | |
| Prisma Health Imaging Centers, LLC | Current | Accepting new patients | |
| Diagnostic Imaging Services | Current | Accepting new patients | |
| Prisma Health Imaging Centers, LLC | Current | Accepting new patients | |
| Prisma Health University Medical Group | Diagnostic Radiology | Current | Accepting new patients |
| Administrators of the Tulane Educational Fund | Current | Accepting new patients | |
| Prisma Health Imaging Centers, LLC | Current | Accepting new patients | |
| Leconte Radiology PC | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Associates of Southwest Louisiana | Diagnostic Radiology | Current | Accepting new patients |
| Prisma Health University Medical Group | Diagnostic Radiology | Current | Accepting new patients |
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Prisma Health Imaging Centers, LLC | Current | Accepting new patients | |
| Prisma Health Imaging Centers, LLC | Current | Accepting new patients | |
| Radiology & Interventional Associates of Metairie LLC | Diagnostic Radiology | Current | Accepting new patients |
| Louisiana Pet Imaging of Alexandria, LLC | Past | Accepting new patients | |
| Second Avenue MRI LLC | Diagnostic Radiology | Past | 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
- https://fhir4.healow.com/fhir/r4/GCFJBA
- 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.
-
- Magnetic Resonance Imaging (MRI) Internal Medicine Physician
- Metairie, LA
- NPI 1699793166
-
- Diagnostic Radiology Physician
- Greenville, SC
- NPI 1568799955
-
- Diagnostic Radiology Physician
- Columbia, SC
- NPI 1730786096
-
- Specialist
- New Orleans, LA
- NPI 1528014164
-
- Diagnostic Radiology Physician
- Metairie, LA
- NPI 1003812215
-
- Diagnostic Radiology Physician
- Alexandria, LA
- NPI 1033215710
-
- Physiological Laboratory
- Greenville, SC
- NPI 1073366472
-
- Physiological Laboratory
- Anderson, SC
- NPI 1184587784
-
- Physiological Laboratory
- Chapin, SC
- NPI 1336031079
-
- Physiological Laboratory
- Columbia, SC
- NPI 1508652462
-
- Physiological Laboratory
- West Columbia, SC
- NPI 1518710912
Hospital & facility affiliations 12
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newberry, SC
- NPI 1316030083
-
- Geriatric Medicine (Internal Medicine) Physician
- Columbia, SC
- NPI 1962471946
Hospital
-
- General Acute Care Hospital
- Columbia, SC
- NPI 1033889795
-
- General Acute Care Hospital
- Columbia, SC
- NPI 1154197846
-
- General Acute Care Hospital
- Columbia, SC
- NPI 1154373843
-
- General Acute Care Hospital
- Coulmbia, SC
- NPI 1154432458
-
- General Acute Care Hospital
- Columbia, SC
- NPI 1205889458
-
- General Acute Care Hospital
- Columbia, SC
- NPI 1306623137
-
- General Acute Care Hospital
- Sumter, SC
- NPI 1326043548
-
- General Acute Care Hospital
- Columbia, SC
- NPI 1396524104
-
- General Acute Care Hospital
- Columbia, SC
- NPI 1508554452
-
- General Acute Care Hospital
- Columbia, SC
- NPI 1811237985
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.