David J Henderson M D A Professional Corporation
NPI 1730990722ActiveOrganization· Urology· Bountiful, UT
Urology in Bountiful, Utah, registered in NPPES in January 2025, part of David J Henderson M D A Professional Corporation. The authorized official on file is David Jay Henderson, MD, Owner.
Overview
| NPI | 1730990722 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | David J Henderson M D A Professional Corporation |
| NPI issued | Jan 17, 2025 |
| Last updated in NPPES | Feb 13, 2025 |
| Certified by provider | Feb 13, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Urology Primary | 208800000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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