Bret D. Henricks, M. D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

ME0070131 Issued in FL

Practice address

1305 Lakeland Hills Blvd
Lakeland, FL 33805-4542

Phone

(863) 688-2334

NPI assigned

Nov 3, 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 3

Medicare fee-for-service enrollment

Enrolled in FL, UT2 enrollments

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 2

Specialty

Diagnostic Radiology

Education

Indiana University School of Medicine, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Manatee Memorial Hospital L PGroup PAC ID 2062309164, 37 clinicians

Radiology and Imaging Specialists of LakelandGroup PAC ID 2264422294, 70 clinicians

Baycare Outpatient Imaging LLCGroup PAC ID 3577804087, 90 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lakeland Regional Medical Center Hospital, Lakeland, FL, CCN 100157
• Manatee Memorial Hospital Hospital, Bradenton, FL, CCN 100035
• Lakewood Ranch Medical Center Hospital, Bradenton, FL, CCN 100299
• Winter Haven Hospital Hospital, Winter Haven, FL, CCN 100052
• Adventhealth Heart of Florida Hospital, Davenport, FL, CCN 100137

Merit-based Incentive Payment System (MIPS)

Final score

86.74 of 100Reported as group

Quality

85

Improvement activities

40

Cost

74.49

Merit-based Incentive Payment System (MIPS)

Final score

71.5 of 100Reported as group

Quality

66.47

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

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.

• Baycare Outpatient Imaging LLC

  • Diagnostic Radiology Physician
  • Valrico, FL
  • NPI 1417423377
  Medicare reassignment Care Compare group NPD
• Manatee Memorial Hospital L P

  dba Manatee Memorial Hospital

  • Other Specialist/Technologist
  • Bradenton, FL
  • NPI 1770505687
  Medicare reassignment Care Compare group NPD
• Radiology & Imaging Specialists of Lakeland

  • Diagnostic Radiology Physician
  • Lakeland, FL
  • NPI 1427049931

  UT

  Medicare reassignment Care Compare group
• Women's Care Florida LLC

  • Obstetrics & Gynecology Physician
  • Tampa, FL
  • NPI 1013902923
  Medicare reassignment NPD
• Baycare Outpatient Imaging LLC

  • Diagnostic Radiology Physician
  • Tampa, FL
  • NPI 1366067712
  NPD
• Baycare Outpatient Imaging LLC

  • Diagnostic Radiology Physician
  • Plant City, FL
  • NPI 1376238642
  NPD
• Manatee Memorial Hospital L P

  dba Manatee Diagnostic Center

  • Radiology Clinic/Center
  • Bradenton, FL
  • NPI 1558020552
  NPD
• Manatee Memorial Hospital L P

  dba Manatee Diagnostic Center Parrish

  • Body Imaging Physician
  • Parrish, FL
  • NPI 1710347711
  NPD
• Manatee Memorial Hospital LP

  dba Manatee Diagnostic Center

  • Body Imaging Physician
  • Bradenton, FL
  • NPI 1821458829
  NPD
• Radiology & Imaging Specialists of Lakeland, PA

  • Vascular & Interventional Radiology Physician
  • Lakeland, FL
  • NPI 1063032993

  Diagnostic Radiology

  NPD (past)
• Radiology & Imaging Specialists of Lakeland, PA

  • Diagnostic Radiology Physician
  • Kissimmee, FL
  • NPI 1124530761
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adventhealth Polk North Inc

  dba AdventHealth Heart of Florida

  • General Acute Care Hospital
  • Davenport, FL
  • NPI 1801457510
  Care Compare affiliation
• Lakeland Regional Medical Center, Inc.

  dba Lakeland Regional Medical Center

  • General Acute Care Hospital
  • Lakeland, FL
  • NPI 1144228446
  Care Compare affiliation
• Lakewood Ranch Medical Center

  • General Acute Care Hospital
  • Bradenton, FL
  • NPI 1730179714
  Care Compare affiliation
• Manatee Memorial Hospital L P

  dba Manatee Memorial Hospital

  • General Acute Care Hospital
  • Bradenton, FL
  • NPI 1760472799
  Care Compare affiliation
• Winter Haven Hospital Inc

  • General Acute Care Hospital
  • Winter Haven, FL
  • NPI 1477599975
  Care Compare affiliation

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384128000000",
    "number": "1538150933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 CRYSTAL GROVE DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338016875",
            "telephone_number": "863-688-2334",
            "fax_number": "863-577-0299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 LAKELAND HILLS BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338054542",
            "telephone_number": "863-688-2334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRICKS",
        "first_name": "BRET",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-03",
        "last_updated": "2013-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME0070131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250118000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "31772",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "300062328",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jill R Hendry, ARNP
• Christine Marie Henkelman, PHYSICAL THERAPIST
• Julian L Henley, MD
• Tracey G. Henley, PSY D
• Vivian Margareth Hennings, COTA
• Benjamin Henry
• Louise Marie Henry, LMHC
• Margaret S Henry, LMT
• Caroline Elaine Henson, DMD
• Chehan Herath, MD

• Diagnostic Radiology Physician in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Diagnostic Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.