Brooke Nicole Henderson

MD | Pediatric Emergency Medicine | Female

---

Complete Profile:

Brooke Nicole Henderson basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics
Provider Name :	Brooke Nicole Henderson
Credential :	MD
Gender :	Female

Business Address:

Brooke Nicole Henderson address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	705 Riley Hospital Dr, Rm 5867 Indianapolis, IN, 46202-5109 United States
Phone Number :	317-944-4034

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1427583368
NPI Entity Type :	Individual
First Enrolment Date :	28 Apr, 2017
Last Updated On :	25 Aug, 2022

Medicare Participation:

Brooke Nicole Henderson participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	8224307350
Medicare Enrollment ID :	I20220623000438
Primary Specialty :	Emergency Medicine
Medical School :	Wayne State University School Of Medicine
Graduation Year :	2017
Accepts Medicare?	Yes. Brooke Nicole Henderson accepts medicare insurance.

Group Practice Association:

Brooke Nicole Henderson is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Brooke Nicole Henderson is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Indiana University Health Care Associates Inc	5799755864	866	705 Riley Hospital Dr Indianapolis, IN - 462025109 Ph: 3179443500	Yes
Icem-wishard Llc	8224162441	39	720 Eskenazi Ave Indianapolis, IN - 462025166 Ph: 3178803900	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Brooke Nicole Henderson are as mentioned. Primary taxonomy code for Brooke Nicole Henderson, MD is 2080P0204X (Pediatrics).

Taxonomy Code	Speciality	Primary	License No.	State
390200000X	Student in an Organized Health Care Education/Training Program	No		-
2080P0204X	Pediatrics	Yes	01087619A	IN

Other Practice Locations:

Practice Address	City, State	Phone Number
720 ESKENAZI AVE, INDIANAPOLIS, IN, 46202-5187 United States	INDIANAPOLIS, IN	317-639-6671

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	250 N Shadeland Ave Indianapolis, IN, 46219-4959 United States

Business Location:

Patients can refer following map for directions to Brooke Nicole Henderson practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.