BRYAN HENDERSON (MD) – Emergency Medicine Physician, NPI 1114983988

BRYAN HENDERSON (MD) is a healthcare provider. based in Brecksville, Ohio. specializing in Emergency Medicine Physician. They hold the professional credentials MD. They hold a License No. 0425215 (KS). The NPI Number for BRYAN HENDERSON (MD) is 1114983988

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
BRYAN HENDERSON (MD)
NPI
1114983988
Phone
Not provided
Address
6896 W SNOWVILLE RD
Enumeration Date
21 April 2006
Last Update Date
6 December 2007

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
6206652117
Graduation Year
1990 (36 years ago)
PAC ID
8224167853
Group Practice PAC ID
5092031054
Professional Enrollment ID
I20100520000248
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for BRYAN HENDERSON (MD)

  • 6896, West Snowville Road, Brecksville, Cuyahoga County, Ohio, 44141, United States

    BRECKSVILLE, OH 441413214

    Phone:

    Type: Mailing

  • Hutchinson Regional Medical Center, 1701, East 23rd Avenue, Hutchinson, Reno County, Kansas, 67502, United States

    HUTCHINSON, KS 675021105

    Phone: (620) 665-2587

    Type: Location

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 $78.

Total Amount is formed as General ($78) + Research ($0) + Ownership ($0) = $78.

Last reported payment date: 2023-02-08 • Largest payer in this snapshot: Inari Medical, Inc. ($78).

Total Amount

$78

General + Research + Ownership

Payments

1

Total payment records

General Amount

$78

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-08

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Inari Medical, Inc.$78
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: 2010-05-20

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
I20100520000248IEmergency MedicineKSTBD

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
99285Emergency department visit with high level of medical decision making428384$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only305270$0
99284Emergency department visit with moderate level of medical decision making134125$0
99283Emergency department visit with low level of medical decision making4642$0
99291Critical care, first 30-74 minutes3535$0
View full utilization report →

Insurance plans in this area (ZIP 44141)

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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: 5092031054View full group profile

Reviews

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Frequently asked questions

Can I cross-check BRYAN HENDERSON (MD) using NPI 1114983988?
NPI 1114983988 belongs to BRYAN HENDERSON (MD); compare other details if you need extra assurance.
Is BRYAN HENDERSON (MD) shown as active in public data?
Registry records indicate BRYAN HENDERSON (MD) maintains an active NPI.
What clinical focus is listed for BRYAN HENDERSON (MD)?
At a glance, BRYAN HENDERSON (MD) is tied to Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for BRYAN HENDERSON (MD)?
Travel planning: use Brecksville, Ohio as the reference point for BRYAN HENDERSON (MD), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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