Benjamin L Hendricks, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

23002629A Issued in IN

Practice address

529 Clifty Dr
Madison, IN 47250-1608

Phone

(812) 273-6262

Fax

(812) 273-1915

NPI assigned

Jul 17, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Madison Hearing Health, LLC

  • Hearing and Speech Clinic/Center
  • Madison, IN
  • NPI 1316611700
  Medicare reassignment NPD Authorized official
• Tree City Hearing LLC

  • Hearing and Speech Clinic/Center
  • Greensburg, IN
  • NPI 1548942410
  NPD (past)

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

{
    "created_epoch": "1500249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1477075950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 CLIFTY DR",
            "city": "MADISON",
            "state": "IN",
            "postal_code": "472501608",
            "telephone_number": "812-273-6262",
            "fax_number": "812-273-1915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 CLIFTY DR",
            "city": "MADISON",
            "state": "IN",
            "postal_code": "472501608",
            "telephone_number": "812-273-6262",
            "fax_number": "812-273-1915"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3105 Middle Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "IN",
            "postal_code": "472034472",
            "country_code": "US",
            "telephone_number": "812-372-1886",
            "fax_number": "812-372-8156",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "905 W Keegans Way Ste 11",
            "address_purpose": "LOCATION",
            "city": "Greensburg",
            "state": "IN",
            "postal_code": "472403403",
            "country_code": "US",
            "telephone_number": "812-663-5163",
            "fax_number": "812-663-2732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDRICKS",
        "first_name": "BENJAMIN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-17",
        "last_updated": "2021-11-10",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231HA2400X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Practitioner",
            "state": "IN",
            "license": "23002629A",
            "primary": false
        },
        {
            "code": "231HA2500X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Supplier",
            "state": "IN",
            "license": "23002629A",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "IN",
            "license": "23002629A",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IN",
            "license": "23002629A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIANA PROFESSIONAL LICENSING AGENCY",
            "identifier": "23002629A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Healthcare Centers of Indiana, LLC
• Healthstat on-Site Clinic/VSG
• Hearing Wellness Center
• Gwendolyn Heaton, MD
• David Eugene Henderson, D.P.M.
• Hannah Henning, PHARMD, RPH
• Henry County Memorial Hospital
• Laura Hildebrand, LCAC
• Natalie M Hill, MSN, WHNP-BC
• Celestra Amber Hoffman, M.S. CCC-SLP

• Audiologist in Madison, IN
• Providers in Madison, IN by specialty
• Audiologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; 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.

Verify at the official NPI Registry.