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

Dr. Jerry Paul Henderson, DO

Individual provider Emergency Medicine Physician · NPI 1245725977

Dr. Jerry Paul Henderson, DO is an Emergency Medicine in Wyoming, Michigan. Graduated from West Virginia School of Osteopathic Medicine in 2018, 8 years ago. Practices with Hawk Emergency Group, PC, a 55-clinician group and accepts Medicare assignment. Licensed in Michigan and Missouri.

Years since qualifying
8
Trained at
West Virginia School of Osteopathic Medicine
Licensed in
MI, MO
In the registry since
2018
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

5900 Byron Center Ave SW
Wyoming, MI 49519-9606
Phone: (616) 252-7604
Show map & directions

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

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 2021016736 (MO)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 510123790 (MI)

Record details

NPI number1245725977
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 26, 2018
Last updated in NPPESJuly 28, 2021
Certification dateJuly 28, 2021
Mailing address5900 Byron Center Ave Sw, Wyoming, MI 49519-9606

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolWEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Graduated 2018 (8 years in practice)
Group practice Hawk Emergency Group, P.C. — 55 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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