IndividualActive
Alberta Henderson, M.D.
NPI 1477541654 · Family Medicine Physician · South Bend, IN
Provider details
- NPI number
- 1477541654
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 01043140A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
714 N Michigan St
South Bend, IN 46601-1035
Phone: (574) 284-7477
Approximate (ZIP-level) locationGet directions
Mailing address
3245 Health Dr Ste 100
Granger, IN 46530-1380
Registry dates
- Enumerated
- 2005-10-11
- Last updated
- 2023-05-01
- Certified
- 2023-05-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.