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

Mr. David B Henderson, PA

Individual provider Pediatric Adolescent Medicine Physician · NPI 1184615239

Mr. David B Henderson, PA is a Pediatric Adolescent Medicine Physician in Fayetteville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2005.

Licensed in
NC
In the registry since
2005
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1638 Owen Dr
Fayetteville, NC 28304-3424
Phone: (910) 609-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 100436 (NC)
Pediatric Adolescent Medicine Physician Taxonomy 2080A0000X · Licence 100436 (NC)

Record details

NPI number1184615239
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 28, 2005
Last updated in NPPESJuly 12, 2016

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