Organization Active NPI

Diegmann and Henderson OBGYN PC

  • Obstetrics & Gynecology Physician
  • Fairhope, AL
National Provider Identifier
1649367228
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
000001748 Issued in AL
Legal business name
DIEGMANN AND HENDERSON OBGYN PC
Practice address
2 Medical Park Dr
Fairhope, AL 36532-2083
Phone
(251) 990-6550
Fax
(251) 990-6552
NPI assigned
Oct 6, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Bret Henderson, M.D.NPI 1659500049
Title
President
Phone
(251) 990-6550

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

Practitioners 8

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D1061923Diegmann & Henderson OBGYN PC2 Medical Park Drive, Fairhope, AL 36532Provider-performed microscopyNov 29, 2026

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20070124000362 AL Part B Supplier - Clinic/Group Practice 9032110770 Receives reassigned benefits from 7 practitioners
Practice locations: Fairhope, AL

National Provider Directory

National Provider Directory

Locations

150 S Ingleside St
#2
Fairhope, AL 36532
Phone (251) 990-6550

2 Medical Park
Fairhope, AL 36532

188 Hospital Dr
Ste 102
Fairhope, AL 36532
Phone (251) 990-1960

2 Medical Park Dr
Fairhope, AL 36532
Phone (251) 990-6550

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 000001748 AL Primary

Addresses

NPPES NPI Registry

Primary practice location

2 Medical Park Dr
Fairhope, AL 36532-2083

Mailing address

2 Medical Park Dr
Fairhope, AL 36532-2083
Phone (251) 990-6550

Other practice location 1

150 S Ingleside St Ste 2
Fairhope, AL 36532-1804
Phone (251) 990-6550

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
529930680MedicaidAL

Other names 2

NPPES NPI Registry
  • Bayside Women's Health Doing business as
  • Diegmann OBGYN PC Former legal business name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 10, 2026.

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773100800000",
    "number": "1649367228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MEDICAL PARK DR",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365322083",
            "telephone_number": "251-990-6550",
            "fax_number": "251-990-6552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MEDICAL PARK DR",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365322083",
            "telephone_number": "251-990-6550",
            "fax_number": "251-990-6552"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 S Ingleside St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Fairhope",
            "state": "AL",
            "postal_code": "365321804",
            "country_code": "US",
            "telephone_number": "251-990-6550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DIEGMANN AND HENDERSON OBGYN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "BRET",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "251-990-6550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "AL",
            "license": "000001748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529930680",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bayside Women's Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Diegmann OBGYN PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Fairhope, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.