Hendrick Provider Network

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

HENDRICK PROVIDER NETWORK

Practice address

2371 Crockett Drive
Suite 105
Brownwood, TX 76801

Phone

(325) 430-6317

Fax

(325) 430-6318

NPI assigned

Feb 6, 2019

Organization subpart

Yes

Parent organization

HENDRICK PROVIDER NETWORKAs reported in NPPES

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

Authorized official

Name

Joe Pearson

Title

Vice President

Phone

(325) 670-4220

Specialties & licenses 1

Addresses

Other names 1

• Hendrick Imaging & Cardiac Testing Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Hendrick Family Health

Locations

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

{
    "created_epoch": "1549411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549411200000",
    "number": "1992260707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2371 CROCKETT DRIVE",
            "address_2": "SUITE 105",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "76801",
            "telephone_number": "325-430-6317",
            "fax_number": "325-430-6318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2371 CROCKETT DRIVE",
            "address_2": "SUITE 105",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "76801",
            "telephone_number": "325-430-6317",
            "fax_number": "325-430-6318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENDRICK PROVIDER NETWORK",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HENDRICK PROVIDER NETWORK",
        "enumeration_date": "2019-02-06",
        "last_updated": "2019-02-06",
        "status": "A",
        "authorized_official_last_name": "PEARSON",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "325-670-4220"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hendrick Imaging & Cardiac Testing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hendrick Medical Center Brownwood
• Hendrick Medical Center Brownwood
• Hendrick Medical Center Brownwood
• Hendrick Medical Center Brownwood
• Hendrick Medical Center Brownwood
• Hendrick Southwestern Health Development Corporation
• Hendrick Surgery Center LLC
• Hennepin Dialysis LLC
• Kris A Henry, M.A., CCC-A
• Dimas Catarino Hernandez, LCDC

• Physiological Laboratory in Brownwood, TX
• Providers in Brownwood, TX by specialty
• Physiological Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.