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

Roy Randel Henneberg, MD

Individual provider Specialist · NPI 1114956216

Roy Randel Henneberg, MD is a Specialist in Coeur D Alene, Idaho. Works from 2 locations. Licensed in Idaho.

Licensed in
ID
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

980 W Ironwood Dr Ste 304
Coeur D Alene, ID 83814
Phone: (208) 765-4888
Fax: (208) 667-8618
Show map & directions

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

Additional practice locations (1)

  • 980 W Ironwood Dr Ste 201, Coeur D Alene, ID 83814-2668 — (208) 765-4888

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence M4722 (ID)

Record details

NPI number1114956216
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 1, 2006
Last updated in NPPESMay 14, 2020
Certification dateMay 14, 2020

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