David J Henderson M D a Professional Corporation

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

DAVID J HENDERSON M D A PROFESSIONAL CORPORATION

Practice address

440 Medical Dr Ste 3
Bountiful, UT 84010-5174

Phone

(385) 722-9566

Fax

(385) 722-9567

NPI assigned

Jan 17, 2025

Organization subpart

Yes

Parent organization

DAVID J HENDERSON M D A PROFESSIONAL CORPORATIONAs reported in NPPES

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

Authorized official

Name

David Jay Henderson, MDNPI 1417933284

Title

Owner

Phone

(801) 721-4017

Specialties & licenses 1

Addresses

Other names 1

• Bountiful Urology Doing business as

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

CLIA laboratory certificates

Part of

David J Henderson MD

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• David J Henderson M D a Professional Corporation

  • Specialist
  • Bountiful, UT
  • NPI 1760512578
  NPPES parent name

Practitioners 1

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

• David J Henderson, MD

  • Urology Physician
  • Bountiful, UT
  • NPI 1417933284
  NPD (past) Authorized official

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

{
    "created_epoch": "1737072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739404800000",
    "number": "1730990722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 S MAIN ST",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840106236",
            "telephone_number": "801-505-0821",
            "fax_number": "801-505-0803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 MEDICAL DR STE 3",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840105174",
            "telephone_number": "385-722-9566",
            "fax_number": "385-722-9567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID J HENDERSON M D A PROFESSIONAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DAVID J HENDERSON M D A PROFESSIONAL CORPORATION",
        "enumeration_date": "2025-01-17",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-721-4017",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bountiful Urology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bountiful Urology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melanee Dahl, CLINICAL NUTRITIONIS
• Emily Daines, F.N.P.
• Pate Damond
• Daniel S. Sellers M.D. LLC
• Sarah Daniels, LMT
• David J Henderson M D a Professional Corporation
• David W. Stevens MD PC
• Mallory J Davidson
• Davis County General Surgery, P.L.L.C
• Davis County Midwives LLC

• Urology Physician in Bountiful, UT
• Providers in Bountiful, UT by specialty
• Urology Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.