Active NPI
Hendrick Provider Network
- Internal Medicine Physician
- Abilene, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- HENDRICK PROVIDER NETWORK
- Practice address
- 1904 Pine St
Suite 200
Abilene, TX 79601-2344 - Phone
- (325) 670-4220
- NPI assigned
- Apr 18, 2007
- Last updated
- Mar 12, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joe Pearson
- Title
- VP Regional Services
- Phone
- (325) 670-7106
Specialties & licenses 12
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Internal Medicine Physician | 207R00000X | Primary | ||
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | |||
| Hematology & Oncology Physician | 207RH0003X | |||
| Interventional Cardiology Physician | 207RI0011X | |||
| Rheumatology Physician | 207RR0500X | |||
| Obstetrics & Gynecology Physician | 207V00000X | |||
| Ophthalmology Physician | 207W00000X | |||
| Neurology Physician | 2084N0400X | |||
| Surgery Physician | 208600000X | |||
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | |||
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X |
Addresses
Primary practice location
1904 Pine St
Suite 200
Abilene, TX 79601-2344
Mailing address
PO Box 1198
Abilene, TX 79604-1198
Phone (325) 670-4220
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080866901 | Medicaid | TX | |
| 0060AE | Other | TX | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040609001047 | TX | Part B Supplier - Clinic/Group Practice | 9739162181 | Receives reassigned benefits from 449 practitioners |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Hendrick Rural Health Clinic San Saba
- Rural Health Clinic/Center
- San Saba, TX
- NPI 1346044401
9739162181
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D1090438 | Hendrick Provider Network | Certificate of waiver | Oct 9, 2026 |
National Provider Directory
National Provider DirectoryMember organizations 2
Organizations listed as members of this organization in the National Provider Directory.
Locations
1201 N 18th St
Abilene, TX 79601
Phone (325) 793-3300
1233 N 18th St
Abilene, TX 79601
Phone (325) 437-3687
1680 Antilley Rd
Ste 125
Abilene, TX 79606
Phone (325) 428-5580
1680 Antilley Rd
Ste 321
Abilene, TX 79606
Phone (325) 437-1590
1750 Pine St
Abilene, TX 79601
Phone (325) 670-0500
1750 Pine St
Ste 100
Abilene, TX 79601
Phone (325) 670-3636
1904 Pine St
Ste 3A
Abilene, TX 79601
Phone (325) 670-6180
1924 Pine St
Ste 501
Abilene, TX 79601
Phone (325) 670-4333
6200 Regional Plz
Ste 1675
Abilene, TX 79606
Phone (325) 670-2255
6250 Regional Plz
Ste 1000
Abilene, TX 79606
Phone (325) 428-5520
6250 Regional Plz
Ste 1060
Abilene, TX 79606
Phone (325) 428-5500
103 S Park Dr
Ste B
Brownwood, TX 76801
Phone (325) 643-8080
125 S Park Dr
Ste D
Brownwood, TX 76801
Phone (325) 641-2500
300 E Commerce St
Brownwood, TX 76801
Phone (325) 510-3400
203 S Daugherty Ave
Eastland, TX 76448
Phone (254) 629-3200
1417 N 1st St
Haskell, TX 79521
Phone (940) 228-0612
Practitioners & affiliated clinicians
Practitioners 487
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Abilene, TX
- NPI 1275947533
-
- Internal Medicine Physician
- Abilene, TX
- NPI 1578876736
-
- Orthopaedic Surgery Physician
- Abilene, TX
- NPI 1447748157
-
- Family Nurse Practitioner
- Brownwood, TX
- NPI 1821635475
-
- Urology Physician
- Brownwood, TX
- NPI 1982634424
-
- Women's Health Nurse Practitioner
- Abilene, TX
- NPI 1497622518
-
- Hematology & Oncology Physician
- Fort Sam Houston, TX
- NPI 1063875052
Internal Medicine
-
- Hematology & Oncology Physician
- Austin, TX
- NPI 1144504408
-
- Family Nurse Practitioner
- Abilene, TX
- NPI 1013442516
-
- Audiologist
- Abilene, TX
- NPI 1942471438
-
- Family Nurse Practitioner
- Abilene, TX
- NPI 1043595317
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1363046400000",
"number": "1396961322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1198",
"city": "ABILENE",
"state": "TX",
"postal_code": "796041198",
"telephone_number": "325-670-4220",
"fax_number": "325-672-8292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1904 PINE ST",
"address_2": "SUITE 200",
"city": "ABILENE",
"state": "TX",
"postal_code": "796012344",
"telephone_number": "325-670-4220"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HENDRICK PROVIDER NETWORK",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-18",
"last_updated": "2013-03-12",
"status": "A",
"authorized_official_last_name": "PEARSON",
"authorized_official_first_name": "JOE",
"authorized_official_title_or_position": "VP REGIONAL SERVICES",
"authorized_official_telephone_number": "325-670-7106"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RH0002X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "080866901",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0060AE",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Abilene, TX
- Hendrick Medical Center (Hendrick Pharmacy on Ambler)
- Hendrick Medical Center (Hendrick Medical Center Physicians)
- Hendrick Medical Center (Hendrick Pharmacy on Ambler)
- Hendrick Medical Center
- Hendrick Provider Network
- Hendrick Southwestern Health Developement Corporation (Hendrick Hearing Health Care)
- Hendrick Southwestern Health Development Corporation (Hendrick Hearing Healthcare)
- Hendrick Southwestern Health Development Corporation (Hendrick Medical Supply)
- Nicole Henington, FNP-C
- Julaine Mae Hensley, CRDH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.