Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Chase Douglas Henderson, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1467988048

Dr. Chase Douglas Henderson, MD is a General Surgery in Crestview, Florida. Qualified in 2017, 9 years ago. Practices with West Florida Specialty Physicians LLC, a 17-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
9
Licensed in
FL
In the registry since
2017
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

550 Redstone Ave W Ste 410
Crestview, FL 32536-6457
Phone: (850) 306-2188
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence ME157502 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1467988048
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 3, 2017
Last updated in NPPESJune 16, 2022
Certification dateJune 16, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice West Florida Specialty Physicians Llc — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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