CLINTON DERRICK HARPER DO
NPI 1376171595
General Practice in Jbsa Ft Sam Houston, TX

Active since April 01, 2020PECOS Enrolled
3551 ROGER BROOKE DR, JBSA FT SAM HOUSTON, TX 78234(210) 916-8666 Get Directions Write a Review

NPPES record last updated: July 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 30, 2024, Jul 25, 2024, Dec 22, 2022 and 2 more (5 updates tracked since 2020).

About Clinton Derrick Harper Do NPPES

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

CLINTON DERRICK HARPER DO (NPI 1376171595) is an individual general practice provider in Jbsa Ft Sam Houston, Texas, licensed in Nebraska (2482) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1376171595
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameCLINTON DERRICK HARPERCredential: DO
Location Address3551 ROGER BROOKE DRJbsa Ft Sam Houston, TX 78234-4504
Mailing Address3551 Roger Brooke DrJbsa Ft Sam Houston, TX 78234-4504 · (901) 551-2992
Sole ProprietorNo
Enumeration DateApril 1, 2020
Last NPPES UpdateJuly 30, 20245 updates tracked since enumeration
NPPES CertifiedJuly 30, 2024
NPI 1376171595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in NE · 2482
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 2482 (NE)
Also ListedAnesthesiologyTaxonomy 207L00000X · License 2482 (NE)
3551 ROGER BROOKE DR, Jbsa Ft Sam Houston, TX 78234

Secondary Practice Locations 2

Location 18497 Rickenbacker AveAnchorage, AK 99508 · Phone (907) 551-2992
Location 22315 Stockton BlvdSacramento, CA 95817-2201 · Phone (916) 734-2816

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Clinton Derrick Harper 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.

Nurse Anesthetist, Certified Registered
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Physician Assistant
3551 ROGER BROOKE DR
JBSA FT SAM HOUSTON, TX 78234
Pediatrics (Pediatric Endocrinology)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Social Worker (Clinical)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Neurological Surgery
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Social Worker (Clinical)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Ophthalmology
3551 ROGER BROOKE DR
JBSA FORT SAM HOUSTON, TX 78234
Emergency Medicine (Emergency Medical Services)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234

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 Clinton Harper's NPI number?

The NPI number for Clinton Harper is 1376171595. It was assigned to this individual provider in the NPPES registry on April 1, 2020.

Where is Clinton Harper located?

Clinton Harper practices at 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234. The listed phone number is (210) 916-8666.

What is Clinton Harper's specialty?

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

Is Clinton Harper enrolled in Medicare?

Yes. Clinton Harper is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Clinton Harper was last updated on July 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.