IndividualActive
Michael Henneberry, M.D.
NPI 1336257971 · Urology Physician · Spokane, WA
Provider details
- NPI number
- 1336257971
- Entity type
- Individual
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MD 00013902 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
820 S Mcclellan St
Suite 118
Spokane, WA 99204-2457
Phone: (509) 747-3147
Fax: (509) 747-0020
Street-level locationGet directions
Mailing address
1404 E 64th Ave
Spokane, WA 99223-6768
Registry dates
- Enumerated
- 2006-08-25
- Last updated
- 2012-04-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.