Individual provider Active NPI

Adam Christopher Henderson, M.D.

  • Emergency Medicine Physician
  • Fort Leonard Wood, MO
National Provider Identifier
1881076644
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
2016029998 Issued in MO
Practice address
4430 Missouri Ave
Fort Leonard Wood, MO 65473-9098
Phone
(573) 596-0417
NPI assigned
Jun 29, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 2016029998 MO Primary
Family Medicine Physician 207Q00000X 2016029998 MO

Addresses

Primary practice location

4430 Missouri Ave
Fort Leonard Wood, MO 65473-9098

Mailing address

4234 Illinois Avenue
Fort Leonard Wood, MO 65473-9098
Phone (573) 596-0417

Other practice location 1

525 Branson Landing Blvd
Branson, MO 65616-2052
Phone (417) 335-7218

Other practice location 2

One Hospital Dr
Columbia, MO 65212-0001
Phone (573) 882-8091

Other practice location 3

1000 W 10th St
Rolla, MO 65401-2905
Phone (573) 458-8899

Other practice location 4

100 Hospital Dr
Lebanon, MO 65536-9210
Phone (785) 226-2170

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MUDOCREFERRAL@direct.health.missouri.edu Direct Curators of the University of Missouri

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20191010002047 MO Practitioner - Emergency MedicinePractitioner - Family Practice 0547591240 Reassigns benefits to 14 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Uniformed Services Uhs Fe Hebert School of Med, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Springfield CommunitiesGroup PAC ID 7416865845, shared by 26 NPIs, 1,121 clinicians
SSM Health Care GroupGroup PAC ID 0143608372, 929 clinicians

Practice addresses (Care Compare)

1 Hospital Dr
Columbia, MO 65212-0001
Phone (573) 882-4141

100 Hospital Dr
Lebanon, MO 65536-9210
Phone (417) 553-6059

1000 W 10TH St
Rolla, MO 65401-2905
Phone (573) 458-8899

1201 S Grand Blvd
Saint Louis, MO 63104-1016
Phone (314) 617-2000

1235 E Cherokee St
Springfield, MO 65804-2203
Phone (417) 820-2600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2016029998MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Aurora CurrentSince Oct 26, 2020 Accepting new patients
Phelps County Regional Medical Center CurrentSince Sep 25, 2024 Accepting new patients
Phelps County Regional Medical Center CurrentSince Sep 25, 2024 Accepting new patients
SSM Health Care Group CurrentSince Mar 1, 2026 Accepting new patients
Mercy Hospital Aurora CurrentSince Oct 26, 2020 Accepting new patients
Mercy Hospital Cassville CurrentSince Oct 26, 2020 Accepting new patients
Mercy Hospital Springfield CurrentSince Aug 26, 2024 Accepting new patients
Curators of the University of Missouri CurrentSince Jan 3, 2025 Accepting new patients
Texas County Memorial Hospital Family Medicine CurrentSince Jul 1, 2024 Accepting new patients
Mercy Clinic Springfield Communities Family Medicine CurrentSince Nov 18, 2025 Accepting new patients
Skaggs Community Hospital Association Emergency Medicine CurrentSince Dec 5, 2024 Accepting new patients
Mercy Clinic Springfield Communities Family Medicine CurrentSince Nov 18, 2025 Accepting new patients
Skaggs Community Hospital Association Family Medicine CurrentSince Dec 5, 2024 Accepting new patients
Mercy Hospital Cassville CurrentSince Oct 26, 2020 Accepting new patients
SSM Health Care Group Emergency Medicine CurrentSince Mar 1, 2026 Accepting new patients
Texas County Memorial Hospital Emergency Medicine CurrentSince Jul 1, 2024 Accepting new patients
The Curators of the University of Missouri CurrentSince Jan 3, 2025 Accepting new patients
Mercy Clinic Springfield Communities Family Medicine CurrentSince Nov 18, 2025 Accepting new patients
Mercy Hospital Springfield CurrentSince Aug 26, 2024 Accepting new patients
Ozarks Medical Center Family Medicine Past Accepting new patients

Locations

500 Porter Ave
Aurora, MO 65605
Phone (417) 678-2122

94 Main St
Cassville, MO 65625
Phone (417) 782-7722

1 Hospital Dr
Columbia, MO 65212
Phone (573) 882-2568

1333 S Sam Houston Blvd
Houston, MO 65483
Phone (417) 967-3311

1125 Madison St
Jefferson Cty, MO 65101
Phone (573) 632-5000

100 Hospital Dr
Lebanon, MO 65536
Phone (417) 533-6010

100 W US Highway 60
Mountain View, MO 65548
Phone (417) 934-7000

1000 W 10th St
Rolla, MO 65401
Phone (573) 364-9000

1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379

1201 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 257-8222

2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905

1235 E Cherokee St
Springfield, MO 65804
Phone (417) 820-2115

Organizations & group practices 21

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.

View all 21

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1435536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1881076644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4234 ILLINOIS AVENUE",
            "city": "FORT LEONARD WOOD",
            "state": "MO",
            "postal_code": "654739098",
            "telephone_number": "573-596-0417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4430 MISSOURI AVE",
            "city": "FORT LEONARD WOOD",
            "state": "MO",
            "postal_code": "654739098",
            "telephone_number": "573-596-0417"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 Branson Landing Blvd",
            "address_purpose": "LOCATION",
            "city": "Branson",
            "state": "MO",
            "postal_code": "656162052",
            "country_code": "US",
            "telephone_number": "417-335-7218",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "One Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652120001",
            "country_code": "US",
            "telephone_number": "573-882-8091",
            "fax_number": "573-884-1902",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 W 10th St",
            "address_purpose": "LOCATION",
            "city": "Rolla",
            "state": "MO",
            "postal_code": "654012905",
            "country_code": "US",
            "telephone_number": "573-458-8899",
            "fax_number": "573-341-5611",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "MO",
            "postal_code": "655369210",
            "country_code": "US",
            "telephone_number": "785-226-2170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "ADAM",
        "middle_name": "CHRISTOPHER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-29",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2016029998",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2016029998",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MUDOCREFERRAL@direct.health.missouri.edu",
            "affiliation": "Y",
            "endpointDescription": "Endpoint is used to receive electronic continuity of care documents (C-CDA) for outpatient referrals",
            "affiliationName": "Curators of the University of Missouri",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct",
            "address_1": "One Hospital Drive",
            "city": "Columbia",
            "state": "MO",
            "country_code": "US",
            "postal_code": "65212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Leonard Wood, MO

Sources for this page

Verify at the official NPI Registry.