Individual provider Active NPI

Bret Henderson, M.D.

  • Obstetrics & Gynecology Physician
  • Fairhope, AL
National Provider Identifier
1659500049
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
AL 30750 Issued in AL
Practice address
2 Medical Park Dr
Fairhope, AL 36532-2083
Phone
(251) 990-6550
Fax
(251) 990-6552
NPI assigned
Jul 7, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X AL 30750 AL Primary

Addresses

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 2

IdentifierTypeStateIssuer
149798MedicaidAL
30750OtherALMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130701000073 AL Practitioner - Obstetrics/Gynecology 4688814387 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
AL 30750ALMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Diegmann and Henderson OBGYN PC Obstetrics & Gynecology CurrentSince Jul 15, 2013 Accepting new patients
Bay Eyes Cataract and Laser Center, Inc. Past Accepting new patients
Gulf Health Hospitals, Inc Past Accepting new patients

Locations

2 Medical Park
Fairhope, AL 36532

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

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

Interoperability endpoints

  • Direct secure messaging: bret.henderson.1@25555.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Alabama School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diegmann and Henderson OBGYN PC 6 clinicians

Practice addresses (Care Compare)

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

Hospital & facility affiliations

  • Thomas Hospital Hospital, Fairhope, AL, CCN 010100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

NPI Registry JSON

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

{
    "created_epoch": "1246924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773100800000",
    "number": "1659500049",
    "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": {
        "last_name": "HENDERSON",
        "first_name": "BRET",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-07",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AL",
            "license": "AL 30750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149798",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD",
            "identifier": "30750",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairhope, AL

Sources for this page

Verify at the official NPI Registry.