BRYAN HENDERSON (NPI# 1114983988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114983988 |
| Entity Type | Individual |
| Full Name | BRYAN HENDERSON |
| Credential | MD |
| Practice Address |
1701 E 23rd Ave Hutchinson KS 67502-1105 |
| Mailing Address |
6896 W Snowville Rd Brecksville OH 44141-3214 |
| Practice Telephone | 6206652587 |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2007-12-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 0425215 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | FIRST GUARD | 432140 | 01 |
| KS | BLUE CROSS BLUE SHIELD | 102509 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114050002 | Bryan Neal Henderson II | Dentist | 8325 Walnut Hill Ln Ste 235, Dallas, TX 75231-4255 | 2007-03-13 |
| Street Address |
1701 E 23RD AVE |
| City | HUTCHINSON |
| State | KS |
| Zip Code | 67502-1105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053310052 | Hillary P Seematter | Emergency Medicine | 1701 E 23rd Ave, Hutchinson, KS 67502-1105 | 2005-07-20 |
| 1336771716 | Halie Leiker | Nurse Practitioner | 1701 E 23rd Ave, Hutchinson, KS 67502-9907 | 2020-02-04 |
| 1255984456 | Hutchinson Regional Medical Center, Inc. | Internal Medicine | 1701 E 23rd Ave, Hutchinson, KS 67502-1105 | 2019-07-17 |
| 1659931525 | Hutchinson Regional Medical Center, Inc. | Internal Medicine | 1701 E 23rd Ave, Hutchinson, KS 67502-1105 | 2019-06-13 |
| 1689130676 | Jenessa Renea Blew | Occupational Therapy Assistant | 1701 E 23rd Ave, Hutchinson, KS 67502-1105 | 2019-02-14 |
| 1023590007 | Aubrey Peterson | Physician Assistant | 1701 E 23rd Ave, Hutchinson, KS 67502-1105 | 2018-09-05 |
| 1487131025 | Hutchinson Regional Medical Center, Inc. | Anesthesiology | 1701 E 23rd Ave, Hutchinson, KS 67502 | 2018-07-26 |
| 1841783180 | Hutchinson Regional Medical Center, Inc. | Nurse Practitioner | 1701 E 23rd Ave, Hutchinson, KS 67502-1105 | 2018-06-12 |
| 1982192068 | Dawn Marie Gadberry | Social Worker | 1701 E 23rd Ave, Hutchinson, KS 67502-1105 | 2018-04-25 |
| 1164924395 | Emily Ann Fike | Physician Assistant | 1701 E 23rd Ave, Hutchinson, KS 67502-1105 | 2018-03-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770032054 | Maryann M Hawkinson | Nurse Practitioner | 2700 E 30th, Hutchinson, KS 67502 | 2016-09-27 |
| 1801257415 | Kenneth Lee Herdt | Hearing Instrument Specialist | 210 E 30th Ave Ste 112, Hutchinson, KS 67502 | 2016-03-09 |
| 1588072052 | Kim Swafford | Pharmacist | 1791 E 23rd, Hutchinson, KS 67502 | 2014-07-29 |
| 1790095438 | Stanley R Kjellberg | Assisted Living Facility | 1909 Landon Street, Hutchinson, KS 67502 | 2010-10-15 |
| 1366752164 | Andrea L Bribiesca | Case Manager/Care Coordinator | 14 17th Crestview, Hutchinson, KS 67502 | 2010-10-14 |
| 1649592569 | Christopher Lee Bailey | Pharmacist | 1320 E. 30th Ave, Hutchinson, KS 67502 | 2010-02-19 |
| 1245464619 | Travis L Gillespie | Dentist | 200 E 30th Ave Ste A, Hutchinson, KS 67502 | 2009-05-13 |
| 1659522548 | Owens Optical | Eyewear Supplier (Equipment, not the service) | 522 -e- 30th, Hutchinson, KS 67502 | 2008-10-09 |
| 1386848026 | Ruth Elaine Buell | Occupational Therapist | 1202 East 23rd St., Hutchinson, KS 67502 | 2007-06-14 |
| 1326260308 | Darron D. Veh | Physical Therapist | 2500 E. 30th, Hutchinson, KS 67502 | 2007-05-02 |
| Find all providers in zip 67502 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275584617 | Steven Douglas Mulder | Emergency Medicine | Hutchinson Area Health Care, 1095 Highway 15 South, Hutchinson, MN 55350 | 2006-05-12 |
| 1053310052 | Hillary P Seematter | Emergency Medicine | 1701 E 23rd Ave, Hutchinson, KS 67502-1105 | 2005-07-20 |
| 1669879110 | Vep Hutchinson Emergency Medical Group, LLC | Emergency Medicine | 1701 E 23rd Ave, Hutchinson, KS 67502-1105 | 2014-11-28 |
| 1114363058 | Katherine Murphy | Emergency Medicine | 1701 E 23rd Ave, Hutchinson, KS 67502-1105 | 2013-05-20 |
| 1245572874 | Waldron Street Emergency Physicians, LLC | Emergency Medicine | 1701 E 23rd Ave, Hutchinson, KS 67502-1105 | 2013-03-21 |
| 1104839364 | Davis Rudolf Sand | Emergency Medicine | 1095 Hwy 15 S, Hutchinson, MN 55350 | 2006-08-15 |
| 1013937721 | Mark Kevin Hagberg | Emergency Medicine | 1095 Highway 15 S, Hutchinson, MN 55350-5000 | 2006-07-19 |
| 1497775027 | James L. Mona | Emergency Medicine | 1095 Highway 15 S, Hutchinson, MN 55350-5000 | 2006-07-19 |
| 1609832013 | Richard Price | Emergency Medicine | 1701 E 23rd Ave, Hutchinson, KS 67502-1105 | 2006-04-25 |
| 1659336808 | Mark Ohlde | Emergency Medicine | 1701 E 23rd Ave, Hutchinson, KS 67502-1105 | 2006-04-19 |
| Find all providers in HUTCHINSON | ||||
| City | HUTCHINSON |
| Zip Code | 67502 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.