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DR. BRIAN HENDRICKSON MD
NPI 1194068312
Student in an Organized Health Care Education/Training Program in New York, NY

Active since April 05, 2013PECOS Enrolled
525 E 68TH ST, NYPH / PAYNE WHITNEY CLINIC (MAIL SLOT 140), NEW YORK, NY 10065(212) 821-0556 Get Directions Write a Review

NPPES record last updated: November 1, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 1, 2021, Aug 14, 2019 (2 updates tracked since 2019).

About Dr. Brian Hendrickson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BRIAN HENDRICKSON MD (NPI 1194068312) is an individual student in an organized health care education/training program in New York, New York and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194068312
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. BRIAN HENDRICKSONCredential: MD
Location Address525 E 68TH ST, NYPH / PAYNE WHITNEY CLINIC (MAIL SLOT 140)New York, NY 10065-4870
Mailing Address4650 Palm AveSan Diego, CA 92154-8404
Phone(212) 821-0556
Sole ProprietorYes
Enumeration DateApril 5, 2013
Last NPPES UpdateNovember 1, 20212 updates tracked since enumeration
NPPES CertifiedNovember 1, 2021
✔ NPI 1194068312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

525 E 68TH ST, New York, NY 10065
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Brian Hendrickson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. AKILI HINSON M.D.
Surgery
525 E 68TH ST
NEW YORK, NY 10065
New York County (212) 746-5454
ABBY AVGERINOS
Nurse Practitioner (Adult Health)
525 E 68TH ST
NEW YORK, NY 10065
New York County (610) 742-3894
DR. PAMELA JOAN-YIN TIEU M.D.
Hospitalist
525 E 68TH ST
NEW YORK, NY 10065
New York County (212) 746-5454
JENNIFER ANNE SOO HOO MD
Physical Medicine & Rehabilitation (Sports Medicine)
525 E 68TH ST
NEW YORK, NY 10065
New York County (212) 746-1500
WEILL MEDICAL COLLEGE OF CORNELL
Specialist
525 E 68TH ST
NEW YORK, NY 10065
New York County (212) 746-2846
MS. RACHAEL HALEY BLAIRE PA-C
Physician Assistant
525 E 68TH ST
NEW YORK, NY 10065
New York County (480) 221-9894
DR. NISHA MEHTA-NAIK M.D.
Psychiatry & Neurology (Psychiatry)
525 E 68TH ST, MAIL SLOT 140
NEW YORK, NY 10065
New York County (212) 746-3720
POOJA SHAH SALVI
Student in an Organized Health Care Education/Training Program
525 E 68TH ST
NEW YORK, NY 10065
New York County (646) 962-8413

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brian Hendrickson's NPI number?

The NPI number for Brian Hendrickson is 1194068312. It was assigned to this individual provider in the NPPES registry on April 5, 2013.

Where is Brian Hendrickson located?

Brian Hendrickson practices at 525 E 68th St Nyph / Payne Whitney Clinic (mail Slot 140), New York, NY 10065. The listed phone number is (212) 821-0556.

What is Brian Hendrickson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Brian Hendrickson enrolled in Medicare?

Yes. Brian Hendrickson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brian Hendrickson was last updated on November 1, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.