Spencer Bowen Heninger, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

5336197-0501 Issued in UT

Practice address

1030 S Medical Dr Ste a
Brigham City, UT 84302-3119

Phone

(435) 723-9700

Fax

(435) 723-9710

NPI assigned

Jun 21, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in UT, ID2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Podiatry

Education

California School of Podiatric Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alpine Management and ConsultingGroup PAC ID 5496659245, 21 clinicians

Caribou Medical Center, IncGroup PAC ID 7618365701, 35 clinicians

Franklin County Medical CenterGroup PAC ID 8820909104, 25 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Franklin County Medical Center Hospital, Preston, ID, CCN 131322
• Caribou Medical Center Hospital, Soda Springs, ID, CCN 131309

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: spencer.heninger.1@17373.direct.athenahealth.com
• Direct secure messaging: sheninger@alpineortho.emadirect.md

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.

• Alpine Management and Consulting

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Logan, UT
  • NPI 1427184449

  ID, Podiatrist

  Medicare reassignment Care Compare group NPD
• Caribou Medical Center, Inc

  • Critical Access Hospital
  • Soda Springs, ID
  • NPI 1942970272
  Medicare reassignment Care Compare group NPD
• Franklin County Medical Center

  • Critical Access Hospital
  • Preston, ID
  • NPI 1548355811
  Medicare reassignment Care Compare group NPD
• Salt Lake Orthopaedic Specialist, LLC

  • Specialist
  • Salt Lake City, UT
  • NPI 1811913429

  Foot and Ankle Surgery

  Medicare reassignment NPD
• Salt Lake Orthopaedic Specialist, LLC

  • Foot & Ankle Surgery Podiatrist
  • American Fork, UT
  • NPI 1417833419
  NPD
• Caribou Medical Center, Inc

  • Rural Health Clinic/Center
  • Soda Springs, ID
  • NPI 1548930878
  NPD
• Franklin County Medical Center

  • Home Health Agency
  • Preston, ID
  • NPI 1437927431
  NPD
• Wasatch Foot and Ankle Specialists, LLC

  • Foot & Ankle Surgery Podiatrist
  • Bountiful, UT
  • NPI 1851705578
  NPD (past)
• Franklin County Medical Center

  • Rural Health Clinic/Center
  • Preston, ID
  • NPI 1144663543
  NPD (past)

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

• Caribou Medical Center, Inc

  • Critical Access Hospital
  • Soda Springs, ID
  • NPI 1942970272
  Care Compare affiliation
• Franklin County Medical Center

  • Critical Access Hospital
  • Preston, ID
  • NPI 1548355811
  Care Compare affiliation

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1790781292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 N 400 E",
            "address_2": "STE A",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843411788",
            "telephone_number": "435-787-2000",
            "fax_number": "435-787-1913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 S MEDICAL DR STE A",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "843023119",
            "telephone_number": "435-723-9700",
            "fax_number": "435-723-9710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2310 N 400 E Ste A",
            "address_purpose": "LOCATION",
            "city": "North Logan",
            "state": "UT",
            "postal_code": "843411796",
            "country_code": "US",
            "telephone_number": "435-787-2000",
            "fax_number": "435-787-1913",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1521 E 3900 S Ste 200",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841241550",
            "country_code": "US",
            "telephone_number": "801-262-8486",
            "fax_number": "801-284-8699",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENINGER",
        "first_name": "SPENCER",
        "middle_name": "BOWEN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "UT",
            "license": "5336197-0501",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "UT",
            "license": "5336197-0501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Malinda Ann Henderson
• Damon Hendrickson, D.C.
• Rivkah Hendrickson
• Samuel Heninger
• Scott Heninger
• Taylor John Hepworth
• Mauricio Heredia
• Aide Hernandez
• Manuel Hernandez
• Brian D Hess, P.A.-C

• Foot & Ankle Surgery Podiatrist in Brigham City, UT
• Providers in Brigham City, UT by specialty
• Foot & Ankle Surgery Podiatrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.