Individual ProviderBrandon James HendrixStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address128 E Apple St Fl 2, Dayton, OH 45409-2902(937) 208-2004PECOS EnrollmentBased on the most recent information from CMS, provider Brandon James Hendrix does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 8 days ago.Profile DetailsProvider ID1538664198Provider TypeIndividualFull NameHendrix, Brandon JamesCredentialMDGenderMaleSole ProprietorNoEnumeration Date3/27/2018Last Updated3/27/2018Contact InformationPractice LocationPractice Address128 E Apple St Fl 2, Dayton, OH 45409-2902Phone(937) 208-2004Fax(937) 208-8828Mailing LocationMailing Address128 E Apple St Fl 2, Dayton, OH 45409-2902Phone(937) 208-2004Fax(937) 208-8828Provider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer