Stephen B Henderson

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

9278 Issued in AL

Legal business name

STEPHEN B HENDERSON

Practice address

2308 Homer Clayton Dr
Guntersville, AL 35976-2206

Phone

(256) 582-2581

Fax

(256) 582-7799

NPI assigned

Apr 29, 2013

Organization subpart

No

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

Authorized official

Name

Deanna Paige Allen

Title

Office Manager

Phone

(256) 582-2581

Specialties & licenses 1

Addresses

Tax ID family

New Hope Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Stephen B Henderson

  • Family Medicine Physician
  • New Hope, AL
  • NPI 1952732273
  NPD tax ID

Locations

Practitioners 1

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

• Stephen Brown Henderson, MD

  • Family Medicine Physician
  • Guntersville, AL
  • NPI 1366523110
  NPD (past)

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

{
    "created_epoch": "1367193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367193600000",
    "number": "1619311024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2308 HOMER CLAYTON DR",
            "city": "GUNTERSVILLE",
            "state": "AL",
            "postal_code": "359762206",
            "telephone_number": "256-582-2581",
            "fax_number": "256-582-7799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2308 HOMER CLAYTON DR",
            "city": "GUNTERSVILLE",
            "state": "AL",
            "postal_code": "359762206",
            "telephone_number": "256-582-2581",
            "fax_number": "256-582-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN B HENDERSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-29",
        "last_updated": "2013-04-29",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_middle_name": "PAIGE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "256-582-2581"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "9278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• State of Alabama Department of Public Health
• State of Alabama Department of Public Health
• State of Alabama Department of Public Health
• State of Alabama Department of Public Health
• Robert Tyler Steed
• Marie Nicole Stephens, LICSW
• Patricia Edge Sterbutzel, CRNA
• Brittany Michelle Stevens
• Randall K Stewart, MD
• Raven Leshea Stewart

• Family Medicine Physician in Guntersville, AL
• Providers in Guntersville, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2013; 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.