CHARLES GERRY HENDERSON M.D. NPI 1912067273

NPI Information

  • NPI: 1912067273
  • Provider Name: CHARLES GERRY HENDERSON, M.D.
  • Classification: Urology - 2088P0231X
  • Specialization: Pediatric Urology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 9300 DEWITT LOOP, ATTN: UROLOGY
    FORT BELVOIR COMMUNITY HOSPITAL
    FORT BELVOIR, VA
    ZIP 22060
  • Phone: (571) 231-2633

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NPI Details

Charles Gerry Henderson, M.D. is a pediatric urology urology in Fort Belvoir, VA. The provider is surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele). Charles Gerry Henderson, M.D. NPI is 1912067273. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9300 DEWITT LOOP, ATTN: UROLOGY
FORT BELVOIR COMMUNITY HOSPITAL
FORT BELVOIR, VA
ZIP 22060
Phone: (571) 231-2633
Fax: (571) 231-2611

The NPI 1912067273 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/9/2006 and was last updated on 5/6/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208800000XUrology18271ALABAMANo
22088P0231XUrologyPediatric UrologyG188367CALIFORNIANo
32088P0231XUrologyPediatric Urology18271ALABAMANo
42088P0231XUrologyPediatric UrologyME131967FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1021315000MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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