Physician Compare National (NPI:1376746453)

HEALTHCARE PROVIDER: BRITTANY BOHINC HENDERSON MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1376746453
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0840430658
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20181113000730
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HENDERSON
	Individual professional last name
Provider First Name	BRITTANY
	Individual professional first name
Provider Middle Name	BOHINC
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	NORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	2007
	Individual professional's medical school graduation year
Primary Specialty	ENDOCRINOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1054 JOHNNIE DODDS BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE A
	Group Practice or individual's line 2 address
City	MOUNT PLEASANT
	Group Practice or individual's city
State	SC
	Group Practice or individual's state
Zip Code	294643153
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	420087
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ROPER HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	420004
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MUSC MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	420065
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	BON SECOURS-ST FRANCIS XAVIER HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	420089
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	EAST COOPER MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y