Charles E Hendrix, Jr., M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

01030371A Issued in 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

Last updated

Oct 5, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Daviess County Hospital

  dba Aperion Care Vincennes

  • Skilled Nursing Facility
  • Vincennes, IN
  • NPI 1083853071

  Contracted Managing Employee

  CMS ownership
• Good Samaritan Hospital

  dba BridgePointe Health Campus

  • Skilled Nursing Facility
  • Vincennes, IN
  • NPI 1033393749

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Good Samaritan Hospital Physician Services, Inc

  • Hospitalist Physician
  • Vincennes, IN
  • NPI 1649432071

  Internal Medicine

  Medicare reassignment NPD
• Good Samaritan Hospital

  dba Good Samaritan Family Practice 100

  • Rural Health Clinic/Center
  • Vincennes, IN
  • NPI 1760145973
  NPD
• Good Samaritan Hospital

  dba Good Samaritan Kids

  • Rural Health Clinic/Center
  • Vincennes, IN
  • NPI 1063005601
  NPD (past)
• Good Samaritan Hospital

  dba Good Samaritan Internal Medicine 100

  • Rural Health Clinic/Center
  • Vincennes, IN
  • NPI 1366105561
  NPD (past)
• Good Samaritan Hospital

  dba Good Samaritan Washington Primary Care

  • Rural Health Clinic/Center
  • Washington, IN
  • NPI 1770370603
  NPD (past)

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1437101128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 E SAINT CLAIR ST",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475914853",
            "telephone_number": "812-885-3325",
            "fax_number": "812-885-8499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 WILLOW ST STE 202",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475911029",
            "telephone_number": "812-885-0520",
            "fax_number": "812-885-0517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRIX, JR.",
        "first_name": "CHARLES",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01030371A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hendrix Optometric Corporation (Eyeworks)
• Alan H Hendrix, MD
• Eli B Hendrix III, O.D.
• Eli Brammer Hendrix IV, OD
• John Scott Hendrix, O.D.
• Krista Hendrix
• Mark Charles Hendrix, O.D.
• Jennifer Hensley, LCSW
• Her Health and Wellness LLC
• Herman Family Dental LLC

• Internal Medicine Physician in Vincennes, IN
• Providers in Vincennes, IN by specialty
• Internal Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.