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

Individual provider Family Medicine Physician · NPI 1275521452

Dr. Vincent Charles Henderson, MD is a Family Medicine Physician in South Bend, Indiana. Licensed in Indiana. Registered with an NPI since 2005.

Licensed in
IN
In the registry since
2005
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

3575 Portage Rd
South Bend, IN 46628-6092
Phone: (574) 647-4530
Fax: (574) 647-4531
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 01033656A (IN)

Record details

NPI number1275521452
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 11, 2005
Last updated in NPPESMarch 17, 2016

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