David F Henderson, MD
Individual provider Active NPI Internal Medicine Physician · Bristol, VT
NPI 1043344633 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1043344633
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 0420005493 (VT)
- Practice address
- 6 South St
Bristol, VT 05443-1217 - Phone
- (802) 453-2451
- Fax
- (802) 453-5816
- NPI assigned
- Mar 15, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0420005493 | VT | MD | Internal Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0420005493 | VT | Yes |
Addresses
Primary practice location
6 South St
Bristol, VT 05443-1217
Mailing address
6 South St
Bristol, VT 05443-1217
Phone (802) 453-2451
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0004598 | Medicaid | VT |
Other providers in Bristol, VT
- Diane K Greenberg
- Kristopher Hall
- Charlotte M Hamidzadeh
- Farid Hamidzadeh
- Sumra Harper-Deas
- Lawrence Hillelson
- James K. Cossaart DDS PC
- Jennifer Kiewit, Ms, LLC
- Jennifer Kiewit
- Elizabeth Knuff
All providers in Bristol, VT · Internal Medicine Physician in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.