Organization Active NPI

Leon Hendley MD of Vero Beach PA

Doing business as Hendley Medical Services

  • Health Service Clinic/Center
  • Vero Beach, FL
National Provider Identifier
1891153169
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
ME0044169 Issued in FL
Legal business name
LEON HENDLEY MD OF VERO BEACH PA
Doing business as
Hendley Medical Services
Practice address
1300 36TH St Ste 1C
Vero Beach, FL 32960-4898
Phone
(772) 770-4911
Fax
(772) 569-4583
NPI assigned
Feb 2, 2016
Last updated
Feb 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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

Authorized official

Name
Cassandra A Hendley
Title
Business Manager
Phone
(772) 770-4911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X ME0044169 FL Primary

Addresses

Primary practice location

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

Mailing address

426 9TH Ave
Vero Beach, FL 32962-1542
Phone (772) 633-7794

Other identifiers 1

IdentifierTypeStateIssuer
ME0044169OtherFLMEDICAL LICENSE

Other names 1

  • Hendley Medical Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160426001991 FL Part B Supplier - Clinic/Group Practice 4880993831 Receives reassigned benefits from 1 practitioner
Practice locations: Vero Beach, FL

National Provider Directory

National Provider Directory

Locations

1300 36th St
Vero Beach, FL 32960
Phone (772) 564-8383

1300 36th St
Ste 1C
Vero Beach, FL 32960
Phone (772) 770-4911

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1454371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708041600000",
    "number": "1891153169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 9TH AVE",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329621542",
            "telephone_number": "772-633-7794",
            "fax_number": "772-205-2070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 36TH ST STE 1C",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604898",
            "telephone_number": "772-770-4911",
            "fax_number": "772-569-4583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEON HENDLEY MD OF VERO BEACH PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-02",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-15",
        "status": "A",
        "authorized_official_last_name": "HENDLEY",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "772-770-4911"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "ME0044169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME0044169",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hendley Medical Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hendley Medical Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 16, 2024; 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.