Active NPI
Brett R Henderson, M.D.
- Neurological Surgery Physician
- Las Cruces, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 2001-213
- Practice address
- 3850 E Lohman Ave
Suite C
Las Cruces, NM 88011-8288 - Phone
- (575) 522-1974
- Fax
- (575) 522-5209
- NPI assigned
- Jan 19, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 2001-213 | NM | Primary |
| Surgery Physician | 208600000X | 2001-213 | NM |
Addresses
Primary practice location
3850 E Lohman Ave
Suite C
Las Cruces, NM 88011-8288
Mailing address
PO Box 13668
Las Cruces, NM 88013-3668
Phone (575) 522-1974
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F1792 | Medicaid | NM | |
| NM019Y53 | Other | NM | BCBS OF NEW MEXICO |
| P00459212 | Other | NM | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurosurgery
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
2560 Samaritan Dr
Suite 101
Las Cruces, NM 88001-1170
Phone (575) 265-0222
Hospital & facility affiliations
- Ambercare Home Health
- Las Cruces Home Care
- Three Crosses Regional Hospital LLC
- Mountain View Regional Medical Center
- Memorial Medical Center
- Sierra Vista Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.39 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 64.63
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 102 |
| Laminectomy or laminotomy (partial removal of spine bones) | 113 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2001-213 | NM | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern New Mexico Neurosurgery LLC | Neurological Surgery | Current | Accepting new patients |
| Southern New Mexico Diagnostics LLC | Past | Accepting new patients | |
| Las Cruces Physician Services LLC | Neurological Surgery | Past | Accepting new patients |
| Function Therapy Specialists, Inc | Past | Accepting new patients | |
| Familycare Associates,PA | Past | Accepting new patients |
Locations
2560 Samaritan Dr
Ste 101
Las Cruces, NM 88001
Phone (575) 265-0222
2550 Samaritan Dr
Ste 101
Las Cruces, NM 88001
Phone (575) 265-0222
3850 E Lohman Ave
Ste C
Las Cruces, NM 88011
Phone (575) 522-1974
205 W Boutz Rd
Las Cruces, NM 88005
Phone (575) 915-1550
1755 Curie Dr
Ste A
El Paso, TX 79902
Phone (915) 534-1329
Organizations & group practices 5
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.
-
- Neurological Surgery Physician
- Las Cruces, NM
- NPI 1558558726
-
- Mobile Radiology Clinic/Center
- Las Cruces, NM
- NPI 1730476748
-
- Family Medicine Physician
- Las Cruces, NM
- NPI 1821161407
-
- Physical Therapy Clinic/Center
- Las Cruces, NM
- NPI 1982370755
-
- Orthopaedic Surgery Physician
- Las Cruces, NM
- NPI 1215079678
Neurological Surgery
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Ambercare Home Health
- Home Health Agency
- Las Cruces, NM
- NPI 1609039833
-
dba Las Cruces Home Care
- Home Health Agency
- Las Cruces, NM
- NPI 1043553670
-
dba Mountainview Regional Medical Center
- General Acute Care Hospital
- Las Cruces, NM
- NPI 1205882503
-
dba Memorial Medical Center of Las Cruces
- General Acute Care Hospital
- Las Cruces, NM
- NPI 1700821808
-
- Critical Access Hospital
- Truth Or Consequences, NM
- NPI 1760446009
-
- General Acute Care Hospital
- Las Cruces, NM
- NPI 1760020044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435276800000",
"number": "1598818189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 13668",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880133668",
"telephone_number": "575-522-1974",
"fax_number": "575-522-5209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3850 E LOHMAN AVE",
"address_2": "SUITE C",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880118288",
"telephone_number": "575-522-1974",
"fax_number": "575-522-5209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDERSON",
"first_name": "BRETT",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-19",
"last_updated": "2015-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "NM",
"license": "2001-213",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NM",
"license": "2001-213",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "F1792",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NEW MEXICO",
"identifier": "NM019Y53",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00459212",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2015; 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.