BRENT HENDERSON (DO) – Pain Medicine (Anesthesiology) Physician, NPI 1649217746

BRENT HENDERSON (DO) is a healthcare provider. based in Broken arrow, Oklahoma. specializing in ANESTHESIOLOGY. They hold the professional credentials DO. They hold a License No. 3954 (OK). The NPI Number for BRENT HENDERSON (DO) is 1649217746

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
BRENT HENDERSON (DO)
NPI
1649217746
Phone
(918) 794-6008
Address
1751 N ASPEN AVE
Enumeration Date
31 May 2006
Last Update Date
19 April 2021

Doctor Profile

Medical School Name
OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
9187946008
Graduation Year
2001 (25 years ago)
PAC ID
5496783912
Group Practice PAC ID
1153603832
Professional Enrollment ID
I20051007000298
Address ID
OK749556867SA555XXAVEX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

580 ANESTHESIOLOGY in OK

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Provider Addresses for BRENT HENDERSON (DO)

  • 1751 N ASPEN AVE

    BROKEN ARROW, OK 740121197

    Phone: (918) 794-6008

    Fax: (918) 516-3447

    Type: Mailing

  • South 101st East Avenue, Tulsa, Tulsa County, Oklahoma, 74129, United States

    TULSA, OK 741335716

    Phone: (918) 294-4915

    Fax: (918) 294-4947

    Type: Location

  • East 31st Court, Eagle Ridge, Tulsa, Tulsa County, Oklahoma, 74134, United States

    STE 210

    TULSA, OK 741451315

    Phone: (918) 392-4477

    Fax: (918) 392-4465

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $214.

Total Amount is formed as General ($214) + Research ($0) + Ownership ($0) = $214.

Last reported payment date: 2024-08-05 • Largest payer in this snapshot: Averitas Pharma Inc. ($149).

Total Amount

$214

General + Research + Ownership

Payments

9

Total payment records

General Amount

$214

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-05

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-10-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20051007000298IAnesthesiologyOKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J1100Injection, dexamethasone sodium phosphate, 1 mg1,68684$0
80307Testing for presence of drug, by chemistry analyzers296258$0
G0482Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms285250$0
99214Established patient office or other outpatient visit, 30-39 minutes190172$0
64450Injection of anesthetic agent and/or steroid into other nerve or branch8661$0
View full utilization report →

Insurance plans in this area (ZIP 74012)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1153603832View full group profile
NameSpecialtyState
Nurse PractitionerOK
Nurse PractitionerOK
-OK
Nurse PractitionerOK
Family PracticeOK
Pain Management, AnesthesiologyKS
Physical Medicine And RehabilitationOK
-OK
Nurse PractitionerOK
Nurse PractitionerOK

Reviews

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Frequently asked questions

How do payers reference BRENT HENDERSON (DO)?
For BRENT HENDERSON (DO), use NPI 1649217746 as the unique 10-digit identifier.
Is BRENT HENDERSON (DO) still an active registrant?
BRENT HENDERSON (DO) carries an active NPI according to the public dataset.
What area of care is associated with BRENT HENDERSON (DO)?
BRENT HENDERSON (DO)'s record emphasizes Pain Medicine (Anesthesiology) Physician. Clinical services aligned with this taxonomy classification.
Is BRENT HENDERSON (DO) associated with Broken Arrow?
Public fields place BRENT HENDERSON (DO) around Broken Arrow, Oklahoma. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for BRENT HENDERSON (DO) is noted as May 31, 2006 where the registry provides it.

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