Active NPI
Henrike Brinker, M.D.
- Psychiatry Physician
- Marion, VA
National Provider Identifier
1740455146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 0101246710
- Practice address
- 340 Bagley Cir
Marion, VA 24354-3126 - Phone
- (276) 783-1200
- Fax
- (276) 783-9712
- NPI assigned
- Apr 25, 2008
- Last updated
- Jul 21, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | R70784 | AZ | |
| Psychiatry Physician | 2084P0800X | 0101246710 | VA | Primary |
Addresses
Primary practice location
340 Bagley Cir
Marion, VA 24354-3126
Mailing address
96 Fairway Drive
Abingdon, VA 24211
Phone (858) 344-6393
Other practice location 1
71 S Flannagan Ave
Lebanon, VA 24266
Phone (276) 883-8042
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01200413 | Other | VA | RR MEDICARE |
| 600671906 | Other | VA | MAGELLAN |
| 1740455146 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R70784 | AZ | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwestern Virginia Mental Health Institute | Current | Accepting new patients | |
| Southwestern Virginia Mental Health Institute | Current | Accepting new patients |
Locations
340 Bagley Cir
Marion, VA 24354
Phone (276) 783-1200
Organizations & group practices 2
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1740455146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "96 FAIRWAY DRIVE",
"city": "ABINGDON",
"state": "VA",
"postal_code": "24211",
"telephone_number": "858-344-6393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 BAGLEY CIR",
"city": "MARION",
"state": "VA",
"postal_code": "243543126",
"telephone_number": "276-783-1200",
"fax_number": "276-783-9712"
}
],
"practiceLocations": [
{
"address_1": "71 S Flannagan Ave",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "VA",
"postal_code": "24266",
"country_code": "US",
"telephone_number": "276-883-8042",
"fax_number": "276-883-8044",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRINKER",
"first_name": "HENRIKE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-25",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AZ",
"license": "R70784",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VA",
"license": "0101246710",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01200413",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "600671906",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1740455146",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marion, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.