Organization Active NPI

Roger Henson MD

  • Adult Medicine Physician
  • Pensacola, FL
National Provider Identifier
1053700161
Registry record updated Jan 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
Legal business name
ROGER HENSON MD
Practice address
2995 Langley Ave
Pensacola, FL 32504-7393
Phone
(850) 477-4634
Fax
(850) 857-7782
NPI assigned
Jan 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Roger L Henson, M.D.NPI 1396819124
Title
Physician/Owner
Phone
(850) 477-4634

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0505X Primary

Addresses

Primary practice location

2995 Langley Ave
Pensacola, FL 32504-7393

Mailing address

2995 Langley Ave
Pensacola, FL 32504-7393
Phone (850) 477-4634

National Provider Directory

National Provider Directory

Locations

2995 Langley Ave
Pensacola, FL 32504
Phone (850) 477-4634

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1421107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421107200000",
    "number": "1053700161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2995 LANGLEY AVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325047393",
            "telephone_number": "850-477-4634",
            "fax_number": "850-857-7782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2995 LANGLEY AVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325047393",
            "telephone_number": "850-477-4634",
            "fax_number": "850-857-7782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER HENSON MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-13",
        "last_updated": "2015-01-13",
        "status": "A",
        "authorized_official_last_name": "HENSON",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "850-477-4634",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.