Active NPI
Brittany Bohinc Henderson, MD
- Endocrinology, Diabetes & Metabolism Physician
- Mount Pleasant, SC
National Provider Identifier
1376746453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- MD51944
- Practice address
- 1054 Johnnie Dodds Blvd Ste a
Mount Pleasant, SC 29464-3153 - Phone
- (843) 388-7545
- Fax
- (843) 388-5548
- NPI assigned
- Jun 7, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | MD51944 | SC | Primary |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 2009-01742 | NC |
Addresses
Primary practice location
1054 Johnnie Dodds Blvd Ste a
Mount Pleasant, SC 29464-3153
Mailing address
1054 Johnnie Dodds Blvd Ste a
Mount Pleasant, SC 29464-3153
Phone (843) 388-7545
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376746453 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 1, 2021 through Jul 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548201600000",
"number": "1376746453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1054 JOHNNIE DODDS BLVD STE A",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294643153",
"telephone_number": "843-388-7545",
"fax_number": "843-388-5548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1054 JOHNNIE DODDS BLVD STE A",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294643153",
"telephone_number": "843-388-7545",
"fax_number": "843-388-5548"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDERSON",
"first_name": "BRITTANY",
"middle_name": "BOHINC",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-07",
"last_updated": "2019-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "SC",
"license": "MD51944",
"primary": true
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "NC",
"license": "2009-01742",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1376746453",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mount Pleasant, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.