DR. THEODRIC BLUE HENDRIX M.D. NPI 1528138294

NPI Information

  • NPI: 1528138294
  • Provider Name: DR. THEODRIC BLUE HENDRIX, M.D.
  • Classification: Obstetrics & Gynecology - 207VX0000X
  • Specialization: Obstetrics
  • Entity Type: Individual
  • Address: 450 N ROXBURY DR
    SUITE 500
    BEVERLY HILLS, CA
    ZIP 90210
  • Phone: (310) 652-3570

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NPI Details

DR. Theodric Blue Hendrix, M.D. is an obstetrics obstetrics gynecology in Beverly Hills, CA. The provider is a physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee DR. Theodric Blue Hendrix, M.D. NPI is 1528138294. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

450 N ROXBURY DR
SUITE 500
BEVERLY HILLS, CA
ZIP 90210-231
Phone: (310) 652-3570
Fax: (310) 388-0157

The enumeration date for this NPI number is 11/9/2006 and was last updated on 9/13/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistA29978CALIFORNIANo
2207VX0000XObstetrics & GynecologyObstetricsA29978CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100A299780OTHERCALIFORNIABLUE SHIELD PROVIDER #
2A29978MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAMEDICARE PROVIDER #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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