Individual provider Active NPI

Gustaf Nelson Hendrick, MD

  • Internal Medicine Physician
  • Chapel Hill, NC
National Provider Identifier
1336838895
Registry record updated Nov 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
HEND-DQOEV5 Issued in NC
Practice address
100 Eastowne Dr
Chapel Hill, NC 27514-2286
Phone
(984) 974-4462
Fax
(919) 843-9355
NPI assigned
May 2, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X HEND-DQOEV5 NC Primary

Addresses

Primary practice location

100 Eastowne Dr
Chapel Hill, NC 27514-2286

Mailing address

100 Eastowne Dr
Chapel Hill, NC 27514-2286

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20260409001646 NC Practitioner - Internal Medicine 5294192761 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Geisel School of Medicine at Dartmouth, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5221 Paramount Pkwy
Suite 420
Morrisville, NC 27560-4704

PO Box
Kansas City, MO 64180

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
HEND-DQOEV5NCMDInternal Medicine Physician

Interoperability endpoints

  • Direct secure messaging: ghendrick1037492@direct.unc.nchie.net
  • Direct secure messaging: ghendrick456390@directhisp.wakemed.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1682985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762646400000",
    "number": "1336838895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 EASTOWNE DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275142286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 EASTOWNE DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275142286",
            "telephone_number": "984-974-4462",
            "fax_number": "919-843-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRICK",
        "first_name": "GUSTAF",
        "middle_name": "NELSON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-02",
        "last_updated": "2025-11-09",
        "certification_date": "2025-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "HEND-DQOEV5",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.