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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

CHUCK HENDERSON PA-C
NPI 1396793956
Physician Assistant in Hurlburt Field, FL

Active since May 05, 2006
113 LIELMANIS AVE, HURLBURT FIELD, FL 32544(850) 881-2448 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Chuck Henderson Pa-c NPPES

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

CHUCK HENDERSON PA-C (NPI 1396793956) is an individual physician assistant in Hurlburt Field, Florida and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1396793956
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameCHUCK HENDERSONCredential: PA-C
Location Address113 LIELMANIS AVEHurlburt Field, FL 32544-5613
Mailing Address704 Wenona WayEglin Afb, FL 32542-1646 · (850) 651-2923 · Fax (850) 881-2923
Phone(850) 881-2448
Sole ProprietorNo
Enumeration DateMay 5, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1396793956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
113 LIELMANIS AVE, Hurlburt Field, FL 32544
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOSE ENCARNACION LUCIO
Technician, Other
113 LIELMANIS AVE
HURLBURT FIELD, FL 32544
Okaloosa County (850) 881-5855
DR. DON VONGVIPHUT DO
General Practice
113 LIELMANIS AVE
HURLBURT FIELD, FL 32544
Okaloosa County (850) 881-1020
DERICK MAYBERRY DDS
Dentist (Periodontics)
113 LIELMANIS AVE
HURLBURT FIELD, FL 32544
Okaloosa County (850) 881-2000
DR. ROBERT KESEAD JR. O.D.
Optometrist
113 LIELMANIS AVE
HURLBURT FIELD, FL 32544
Okaloosa County (850) 883-3187
MS. DEBORAH K LANIUS MSN FNP
Nurse Practitioner (Family)
113 LIELMANIS AVE, 1 SOMDG
HURLBURT FIELD, FL 32544
Okaloosa County (850) 881-5221
WENDY S BORN CNP
Nurse Practitioner (Family)
113 LIELMANIS AVE
HURLBURT FIELD, FL 32544
Okaloosa County (850) 881-1257
BRITTON ADAMS IDMT
Military Health Care Provider (Independent Duty Medical Technicians)
113 LIELMANIS AVE
HURLBURT FIELD, FL 32544
Okaloosa County (850) 884-1206
MRS. LISA MCFARLAND IDMT
Military Health Care Provider (Independent Duty Medical Technicians)
113 LIELMANIS AVE
HURLBURT FIELD, FL 32544
Okaloosa County (850) 621-2865

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 Chuck Henderson's NPI number?

The NPI number for Chuck Henderson is 1396793956. It was assigned to this individual provider in the NPPES registry on May 5, 2006.

Where is Chuck Henderson located?

Chuck Henderson practices at 113 Lielmanis Ave, Hurlburt Field, FL 32544. The listed phone number is (850) 881-2448.

What is Chuck Henderson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Chuck Henderson was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.