Active NPI
Diegmann and Henderson OBGYN PC
- Obstetrics & Gynecology Physician
- Fairhope, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 000001748
- 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.
- 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.
-
- Obstetrics & Gynecology Physician
- Fairhope, AL
- NPI 1659500049
AL, Obstetrics & Gynecology
-
- Obstetrics & Gynecology Physician
- Fairhope, AL
- NPI 1447755913
AL, Obstetrics & Gynecology
-
- Obstetrics & Gynecology Physician
- Fairhope, AL
- NPI 1922569185
AL, Obstetrics & Gynecology
-
- Obstetrics & Gynecology Physician
- Fairhope, AL
- NPI 1336534262
AL, Obstetrics & Gynecology
-
- Obstetrics & Gynecology Nurse Practitioner
- Fairhope, AL
- NPI 1922034354
AL
-
- Obstetrics & Gynecology Physician
- Fairhope, AL
- NPI 1720046204
AL, Obstetrics & Gynecology
-
- Student in an Organized Health Care Education/Training Program
- Fairhope, AL
- NPI 1093668766
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 01D1061923 | Diegmann & Henderson OBGYN PC | Provider-performed microscopy | Nov 29, 2026 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070124000362 | AL | Part B Supplier - Clinic/Group Practice | 9032110770 |
Receives reassigned benefits from 7 practitioners Practice locations: Fairhope, AL |
National Provider Directory
National Provider DirectoryLocations
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 000001748 | AL | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 529930680 | Medicaid | AL |
Other names 2
NPPES NPI Registry- Bayside Women's Health
- Diegmann OBGYN PC
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.