Charles E Hendrix, Jr., M.D.
Individual provider Active NPI Internal Medicine Physician · Vincennes, IN
NPI 1437101128 · NPPES record last updated Oct 5, 2021
Key facts
- NPI
- 1437101128
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 01030371A (IN)
- Practice address
- 700 Willow St Ste 202
Vincennes, IN 47591-1029 - Phone
- (812) 885-0520
- Fax
- (812) 885-0517
- NPI assigned
- May 17, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Owned or controlled facilities with NPI records 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 2
| Facility | Type | Role | Since |
|---|---|---|---|
| Bridgepointe Health Campus |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
May 1, 2015 Jun 17, 2025 |
| Aperion Care Vincennes |
Skilled nursing facility | Contracted Managing Employee (100%) | Mar 1, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070510000525 | IN | Practitioner - Internal Medicine | 5698871432 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Good Samaritan Hospital | Current |
Accepting new patients | |
| Good Samaritan Hospital Physician Services, Inc | Internal Medicine | Current |
Accepting new patients |
| Good Samaritan Hospital | Past | Accepting new patients | |
| Good Samaritan Hospital | Past | Accepting new patients | |
| Good Samaritan Hospital | Past |
Accepting new patients |
Locations
700 Willow St
Ste 202
Vincennes, IN 47591
Phone (812) 885-0520
615 Dubois St
Vincennes, IN 47591
Phone (812) 885-8010
1160 E Saint Clair St
Vincennes, IN 47591
Phone (812) 882-1064
406 N 1st St
Vincennes, IN 47591
Phone (812) 882-1106
520 S 7th St
Vincennes, IN 47591
Phone (812) 885-3280
514 S 9th St
Vincennes, IN 47591
Phone (812) 885-6990
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 01030371A | IN | Yes |
Addresses
Primary practice location
700 Willow St Ste 202
Vincennes, IN 47591-1029
Mailing address
1160 E Saint Clair St
Vincennes, IN 47591-4853
Phone (812) 885-3325
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100154890 | Medicaid | IN | |
| 118323 | Other | IN | HEALTHLINK |
| P00851310 | Other | IN | RAILROAD MEDICARE |
Other providers in Vincennes, IN
- Hendrix Optometric Corporation
- Alan H Hendrix
- Eli B Hendrix III
- Eli Brammer Hendrix IV
- John Scott Hendrix
- Krista Hendrix
- Mark Charles Hendrix
- Jennifer Hensley
- Her Health and Wellness LLC
- Herman Family Dental LLC
All providers in Vincennes, IN · Internal Medicine Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 5, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.