Bryan Keith Henderson (NPI# 1114983988, PAC ID# 8224167853) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1114983988 |
| PAC ID by PECOS | 8224167853 |
| Professional Enrollment ID | I20100520000248 |
| Full Name | Bryan Keith Henderson |
| Organization Legal Name | VEP HUTCHINSON EMERGENCY MEDICAL GROUP LLC |
| Address |
1701 E 23rd Ave Hutchinson Regional Medical Center Hutchinson KS 67502-1105 |
| Phone Number | 6206652117 |
| Gender | M |
| Medical School | UNIVERSITY OF KANSAS SCHOOL OF MEDICINE |
| Graduation Year | 1990 |
| Primary Specialty | EMERGENCY MEDICINE |
| Secondary Specialties | INTERNAL MEDICINE, PEDIATRIC MEDICINE |
| Group Practice PAC ID | 5092031054 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 170020 | HUTCHINSON REGIONAL MEDICAL CENTER INC |
| Address | Phone | Organization |
|---|---|---|
| 1701 E 23rd Ave, Hutchinson Regional Medical Center, Hutchinson, KS 67502-1105 | 6206652117 | VEP HUTCHINSON EMERGENCY MEDICAL GROUP LLC |
| Organization Legal Name | VEP HUTCHINSON EMERGENCY MEDICAL GROUP LLC |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lindsay R Kornelson | Nurse Practitioner | Vep Hutchinson Emergency Medical Group LLC | 1701 E 23rd Ave, Hutchinson Regional Medical Center, Hutchinson, KS 67502-1105 |
| Katherine A Stolper | Emergency Medicine | Vep Hutchinson Emergency Medical Group LLC | 1701 E 23rd Ave, Hutchinson Regional Medical Center, Hutchinson, KS 67502-1105 |
| Peter David Morris | Emergency Medicine | Vep Hutchinson Emergency Medical Group LLC | 1701 E 23rd Ave, Hutchinson Regional Medical Center, Hutchinson, KS 67502-1105 |
| Aaron M Proffitt | Emergency Medicine | Vep Hutchinson Emergency Medical Group LLC | 1701 E 23rd Ave, Hutchinson Regional Medical Center, Hutchinson, KS 67502-1105 |
| Jessica Danielle Carmichael | Emergency Medicine | Vep Hutchinson Emergency Medical Group LLC | 1701 E 23rd Ave, Hutchinson Regional Medical Center, Hutchinson, KS 67502-1105 |
| Jerzy Slomka | Internal Medicine | Vep Hutchinson Emergency Medical Group LLC | 1701 E 23rd Ave, Hutchinson Regional Medical Center, Hutchinson, KS 67502-1105 |
| Richard L Price | Internal Medicine | Vep Hutchinson Emergency Medical Group LLC | 1701 E 23rd Ave, Hutchinson Regional Medical Center, Hutchinson, KS 67502-1105 |
| Nichole B Thornton | Nurse Practitioner | Vep Hutchinson Emergency Medical Group LLC | 1701 E 23rd Ave, Hutchinson Regional Medical Center, Hutchinson, KS 67502-1105 |
| Russell L Workman | Emergency Medicine | Vep Hutchinson Emergency Medical Group LLC | 1701 E 23rd Ave, Hutchinson Regional Medical Center, Hutchinson, KS 67502-1105 |
| Andrew D Bloom | Emergency Medicine | Vep Hutchinson Emergency Medical Group LLC | 1701 E 23rd Ave, Hutchinson Regional Medical Center, Hutchinson, KS 67502-1105 |
| Street Address |
1701 E 23RD AVE HUTCHINSON REGIONAL MEDICAL CENTER |
| City | HUTCHINSON |
| State | KS |
| Zip | 67502-1105 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heidi L Schultz | Certified Registered Nurse Anesthetist (crna) | Hutchinson Regional Medical Center Inc | 1701 E 23rd Ave, Hutchinson, KS 67502-1105 |
| Moh'd Al-halawani | Pulmonary Disease | Hutchinson Regional Medical Center Inc | 1701 E 23rd Ave, 2000 Hutchinson Regional Physician Network, Hutchinson, KS 67502-9908 |
| Lindsay R Kornelson | Nurse Practitioner | Vep Hutchinson Emergency Medical Group LLC | 1701 E 23rd Ave, Hutchinson Regional Medical Center, Hutchinson, KS 67502-1105 |
| Michelle L Nelson | Certified Registered Nurse Anesthetist (crna) | Hutchinson Regional Medical Center Inc | 1701 E 23rd Ave, Hutchinson, KS 67502-1105 |
| Jason Bdo Slack | Internal Medicine | Hutchinson Physicians Pa | 1701 E 23rd Ave, Hutchinson, KS 67502-1105 |
| Rona K Gazaway | Diagnostic Radiology | Radiology Professionals of Hutchinson, LLC | 1701 E 23rd Ave, Hutchinson, KS 67502-1105 |
| Katherine A Stolper | Emergency Medicine | Vep Hutchinson Emergency Medical Group LLC | 1701 E 23rd Ave, Hutchinson Regional Medical Center, Hutchinson, KS 67502-1105 |
| Linessa Ann Rexford | Nurse Practitioner | Hutchinson Physicians Pa | 1701 E 23rd Ave, Hutchinson, KS 67502-1105 |
| Tariq Musa | Pulmonary Disease | Hutchinson Regional Medical Center Inc | 1701 E 23rd Ave, 2000 Hutchinson Regional Physician Network, Hutchinson, KS 67502-9908 |
| Luke A Wetta | Certified Registered Nurse Anesthetist (crna) | Hutchinson Regional Medical Center Inc | 1701 E 23rd Ave, Hutchinson, KS 67502-1105 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nancy B Ciskey | Nurse Practitioner | Hospice of Reno County Inc | 2020 N Waldron St, Suite 100, Hutchinson, KS 67502-1100 |
| Misty K Falco | Nurse Practitioner | Hospice of Reno County Inc | 2020 N Waldron St, Suite 100, Hutchinson, KS 67502-1100 |
| Shannon Leigh Horsch | Nurse Practitioner | Hospice of Reno County Inc | 2020 N Waldron St, Suite 100, Hutchinson, KS 67502-1100 |
| Bobbi L Schrag | Nurse Practitioner | Hospice of Reno County Inc | 2020 N Waldron St, Suite 100, Hutchinson, KS 67502-1100 |
| Terence Mcdonald | Internal Medicine | 1701 E, 23rd, Hutchinson, KS 67502-1105 | |
| Robbie L Obrien-leighton | Physical Medicine and Rehabilitation | 1701 E 23rd Ave, Hutchinson, KS 67502-1105 | |
| Yahya H Goronga | Certified Registered Nurse Anesthetist (crna) | Clinical Colleagues Inc | 1701 E 23rd Ave, Hutchinson, KS 67502-1105 |
| Janet L Grilliot | Nurse Practitioner | Hutchinson Physicians Pa | 1701 E 23rd Ave, Hutchinson, KS 67502-1105 |
| Jeremy Mark Tan | Psychiatry | Hutchinson Regional Medical Center Inc | 1701 E 23rd Ave, Hospital, Hutchinson, KS 67502-1105 |
| Peter David Morris | Emergency Medicine | Vep Hutchinson Emergency Medical Group LLC | 1701 E 23rd Ave, Hutchinson Regional Medical Center, Hutchinson, KS 67502-1105 |
| Find all physicians in zip 67502 | |||
| City | HUTCHINSON |
| Zip Code | 67502 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | HUTCHINSON + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Bryan Keith Henderson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.