Wayne Hendrix, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

21076 Issued in KY

Practice address

1225 Fairway St
Bowling Green, KY 42103-2477

Phone

(270) 796-3910

Fax

(270) 842-7177

NPI assigned

Jun 9, 2005

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

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353888000000",
    "number": "1447254206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3240",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421023240",
            "telephone_number": "270-796-3910",
            "fax_number": "270-842-7177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 FAIRWAY ST",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421032477",
            "telephone_number": "270-796-3910",
            "fax_number": "270-842-7177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRIX",
        "first_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2012-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "21076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "260003553",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "50006916",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000044746",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64210768",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Russell King Heltsley III, O.D.
• Rodney McKinley Henderson, RODNEY HENDERSON
• Jonathan David Hendrie, MD
• Kara Nicole Hendrix, DMD
• Sydney Hendrix
• Hannah Hennessey
• Beth Ann Henry
• Cassie Jo Henry, LMT
• Patricia Ellen Henry
• Philip Henry, RPH

• Internal Medicine Physician in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Internal Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.