DR. TREY DURHAM DO
NPI 1083460901
General Practice in Eglin Afb, FL

Active since April 30, 2024PECOS Enrolled
307 BOATNER RD STE 114, EGLIN AFB, FL 32542(850) 883-8655 Get Directions Write a Review

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

Record update history: Jan 30, 2026, Apr 30, 2024 (2 updates tracked since 2024).

About Dr. Trey Durham Do NPPES

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

DR. TREY DURHAM DO (NPI 1083460901) is an individual general practice provider in Eglin Afb, Florida, licensed in Wisconsin (82023-21) and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083460901
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. TREY DURHAMCredential: DO
Location Address307 BOATNER RD STE 114Eglin Afb, FL 32542-1302
Mailing Address307 Boatner Rd Ste 114Eglin Afb, FL 32542-1302
Sole ProprietorYes
Enumeration DateApril 30, 2024
Last NPPES UpdateFebruary 13, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 13, 2026
NPI 1083460901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in WI · 82023-21
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedMilitary Health Care ProviderTaxonomy 171000000X · License 82023-21 (WI)
307 BOATNER RD STE 114, Eglin Afb, FL 32542

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Trey Durham Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Physical Therapist
307 BOATNER RD STE 114
EGLIN AFB, FL 32542
Anesthesiology
307 BOATNER RD STE 114
EGLIN AFB, FL 32542
General Practice
307 BOATNER RD STE 114
EGLIN AFB, FL 32542
Nurse Practitioner (Family)
307 BOATNER RD STE 114
EGLIN, FL 32542
Anesthesiology
307 BOATNER RD STE 114
EGLIN AFB, FL 32542
Internal Medicine
307 BOATNER RD STE 114
EGLIN AFB, FL 32542
General Practice
307 BOATNER RD STE 114
EGLIN AFB, FL 32542
Military Health Care Provider
307 BOATNER RD STE 114
EGLIN AFB, FL 32542

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 Trey Durham's NPI number?

The NPI number for Trey Durham is 1083460901. It was assigned to this individual provider in the NPPES registry on April 30, 2024.

Where is Trey Durham located?

Trey Durham practices at 307 Boatner Rd Ste 114, Eglin Afb, FL 32542. The listed phone number is (850) 883-8655.

What is Trey Durham's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Trey Durham enrolled in Medicare?

Yes. Trey Durham is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Trey Durham was last updated on February 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.