Individual provider Active NPI

Weldon S Henderson, CRNA

  • Certified Registered Nurse Anesthetist
  • Brownsville, TX
National Provider Identifier
1447275961
Registry record updated Jan 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
535862 Issued in TX
Practice address
4750 N Expressway
Brownsville, TX 78526-4120
Phone
(956) 554-2014
Fax
(956) 554-2001
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X R0025031 OK
Certified Registered Nurse Anesthetist 367500000X 535862 TX Primary

Addresses

Primary practice location

4750 N Expressway
Brownsville, TX 78526-4120

Mailing address

419 W Gray St
Norman, OK 73069-7117
Phone (405) 809-4200

Other identifiers 2

IdentifierTypeStateIssuer
100781230AMedicaidOK
89953UOtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
R0025031OKMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Compass BDH, LLC Past Accepting new patients
Southern Oklahoma Surgical Center Inc Past Accepting new patients
Rosario Parra, MD,PA Past Accepting new patients
Rio Grande Anesthesia & Pain Medicine Consultants, P.a. Past Accepting new patients
Kay County Clinic Company LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Rio Grande Anesthesia & Pain Medicine Consultants, P .a. PastSince May 7, 2024 Accepting new patients
Rha Stroud Inc Past Accepting new patients

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325721600000",
    "number": "1447275961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 W GRAY ST",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730697117",
            "telephone_number": "405-809-4200",
            "fax_number": "405-364-5379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4750 N EXPRESSWAY",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785264120",
            "telephone_number": "956-554-2014",
            "fax_number": "956-554-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "WELDON",
        "middle_name": "S",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2012-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OK",
            "license": "R0025031",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "535862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100781230A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "89953U",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2012; 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.