BERNARD H HENDRIKSEN (PA) – Physician Assistant, NPI 1568617991

BERNARD H HENDRIKSEN (PA) is a healthcare provider. based in Brockton, Massachusetts. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 2643 (MA). The NPI Number for BERNARD H HENDRIKSEN (PA) is 1568617991

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
BERNARD H HENDRIKSEN (PA)
NPI
1568617991
Phone
(508) 894-0400
Address
110 LIBERTY ST
Enumeration Date
26 November 2008
Last Update Date
26 November 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7813375555
Graduation Year
2008 (18 years ago)
PAC ID
4880756337
Group Practice PAC ID
7517057284
Professional Enrollment ID
I20081217000727
Address ID
MA020434354HI2XXXXRDXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

5,093 PHYSICIAN ASSISTANT in MA

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Provider Addresses for BERNARD H HENDRIKSEN (PA)

  • 110, Liberty Street, Marshall Corner, Brockton, Plymouth County, Massachusetts, 02357, United States

    BROCKTON, MA 023015521

    Phone: (508) 894-0400

    Fax: (508) 894-0757

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $48.

Total Amount is formed as General ($48) + Research ($0) + Ownership ($0) = $48.

Last reported payment date: 2024-07-18 • Largest payer in this snapshot: Stryker Corporation ($48).

Total Amount

$48

General + Research + Ownership

Payments

1

Total payment records

General Amount

$48

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-18

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Stryker Corporation$48
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-12-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20081217000727IPhysician AssistantMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
23472Prosthetic repair of shoulder joint, total shoulder2727$0
27447Replacement of knee joint, both sides of knee2727$0
27130Replacement of thigh bone and hip joint with prosthesis1212$0
View full utilization report →

Insurance plans in this area (ZIP 02301)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7517057284View full group profile
NameSpecialtyState
Physician AssistantMA
Orthopedic SurgeryMA
Physician AssistantMA
Physical Medicine And RehabilitationMD
Orthopedic SurgeryMA
Physician AssistantMA
Physician AssistantMA
Occupational Therapist In Private PracticeMA
Nurse PractitionerMA
Orthopedic SurgeryMA

Reviews

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Frequently asked questions

How do payers reference BERNARD H HENDRIKSEN (PA)?
For BERNARD H HENDRIKSEN (PA), use NPI 1568617991 as the unique 10-digit identifier.
Would BERNARD H HENDRIKSEN (PA) appear as active to a payer?
You can treat BERNARD H HENDRIKSEN (PA) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for BERNARD H HENDRIKSEN (PA)?
At a glance, BERNARD H HENDRIKSEN (PA) is tied to Physician Assistant. Clinical services aligned with this taxonomy classification.
What practice footprint exists for BERNARD H HENDRIKSEN (PA)?
Travel planning: use Brockton, Massachusetts as the reference point for BERNARD H HENDRIKSEN (PA), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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