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DR. VINCENT CHARLES HENDERSON M.D.
NPI 1275521452
Family Medicine in South Bend, IN

Active since October 11, 2005
3575 PORTAGE RD, SOUTH BEND, IN 46628(574) 647-4530(574) 647-4531 Get Directions Write a Review

NPPES record last updated: March 17, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Vincent Charles Henderson M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. VINCENT CHARLES HENDERSON M.D. (NPI 1275521452) is an individual family medicine provider in South Bend, Indiana, licensed in Indiana (01033656A) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1275521452
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. VINCENT CHARLES HENDERSONCredential: M.D.
Location Address3575 PORTAGE RDSouth Bend, IN 46628-6092
Mailing Address710 N Niles AveSouth Bend, IN 46617-1924 · (574) 647-1610
Phone(574) 647-4530
Fax(574) 647-4531
Sole ProprietorNo
Enumeration DateOctober 11, 2005
Last NPPES UpdateMarch 17, 2016
✔ NPI 1275521452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IN · 01033656A
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3575 PORTAGE RD, South Bend, IN 46628
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Other Identifiers 11

Other000000085144IN · Bcbs Bmg Main St
Other000000588530IN · Bcbs Bmg E Blair Warner
Medicare PIN236040MMIN
Medicaid200064640IN
Other000000085145IN · Bcbs Bmg Medpoint Ireland
Other000000319907IN · Bcbs Bmg Portage Rd
Medicare PINM400039250IN
Medicare PIN236040AIN
Other080073934IN · Rr Medicare
Medicare UPINE56426IN
Medicare PIN247000BIN

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vincent Henderson's NPI number?

The NPI number for Vincent Henderson is 1275521452. It was assigned to this individual provider in the NPPES registry on October 11, 2005.

Where is Vincent Henderson located?

Vincent Henderson practices at 3575 Portage Rd, South Bend, IN 46628. The listed phone number is (574) 647-4530.

What is Vincent Henderson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Vincent Henderson was last updated on March 17, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.