Organization Active NPI

Robert Hendley M.D., LLC

  • Cardiovascular Disease Physician
  • Vero Beach, FL
National Provider Identifier
1487013058
Registry record updated Feb 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME0049021 Issued in FL
Legal business name
ROBERT HENDLEY M.D., LLC
Practice address
1300 36TH St
Ste 1C
Vero Beach, FL 32960-4898
Phone
(772) 770-4911
NPI assigned
Feb 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2016

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

Authorized official

Name
Robrielle Hendley
Title
Office Manager
Phone
(772) 770-4911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X ME0049021 FL Primary

Addresses

Primary practice location

1300 36TH St
Ste 1C
Vero Beach, FL 32960-4898

Mailing address

550 9TH St SW
Vero Beach, FL 32962-4711
Phone (772) 770-4911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161025001094 FL Part B Supplier - Clinic/Group Practice 6406134527 Receives reassigned benefits from 1 practitioner
Practice locations: Vero Beach, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1455148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455148800000",
    "number": "1487013058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 9TH ST SW",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329624711",
            "telephone_number": "772-770-4911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 36TH ST",
            "address_2": "STE 1C",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604898",
            "telephone_number": "772-770-4911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT HENDLEY M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-11",
        "last_updated": "2016-02-11",
        "status": "A",
        "authorized_official_last_name": "HENDLEY",
        "authorized_official_first_name": "ROBRIELLE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "772-770-4911"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME0049021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.