Active NPI
Bency Hendrickson
- Internal Medicine Physician
- Michigan Center, MI
National Provider Identifier
1962683292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301071335
- Practice address
- 4328 Page Ave
Michigan Center, MI 49254-1077 - Phone
- (517) 764-3609
- Fax
- (517) 764-3669
- NPI assigned
- Nov 15, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301071335 | MI | Primary |
Addresses
Primary practice location
4328 Page Ave
Michigan Center, MI 49254-1077
Mailing address
4328 Page Ave
Michigan Center, MI 49254-1077
Phone (517) 764-3609
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301071335 | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cogent Healthcare of Michigan PC | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Jackson, MI
- NPI 1295047165
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486425600000",
"number": "1962683292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4328 PAGE AVE",
"city": "MICHIGAN CENTER",
"state": "MI",
"postal_code": "492541077",
"telephone_number": "517-764-3609",
"fax_number": "517-764-3669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4328 PAGE AVE",
"city": "MICHIGAN CENTER",
"state": "MI",
"postal_code": "492541077",
"telephone_number": "517-764-3609",
"fax_number": "517-764-3669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDRICKSON",
"first_name": "BENCY",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-15",
"last_updated": "2017-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301071335",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Michigan Center, MI
- Lillian B Donnelly
- Jason Max Ellis, D.C.
- Stephanie Gardner-Wright, LMSW
- Kayla Mackenzie Harris, FNP
- Wendy Louise Hastings, RN
- James L Horrigan II, LMSW AND RN
- Anthony Griffeth Hunter, B.S., R.PH.
- Joseph a Mayo Jr DC PC (Michigan Center Chiropractic Clinic)
- Limitless Dental Care Center PLLC
- LTC Leonard LLC (LTC Welcome Michigan Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.