Individual
BRET HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2 MEDICAL PARK DR, FAIRHOPE, AL 36532-2083
(251) 990-6550
(251) 990-6552
Mailing address
2 MEDICAL PARK DR, FAIRHOPE, AL 36532-2083
(251) 990-6550
(251) 990-6552
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
AL 30750
AL
390200000X
Student in an Organized Health Care Education/Training Program
R10169
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149798
—
AL
01
—
30750
MD
AL
Enumeration date
07/07/2009
Last updated
03/10/2026
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