DEREK BRADLEY ASSERSON MD
NPI 1518600774
Student in an Organized Health Care Education/Training Program in Memphis, TN

Q: What is Derek Asserson's NPI number?

The NPI number for Derek Asserson is 1518600774. It was assigned to this individual provider in the NPPES registry on April 15, 2022.

Q: What is Derek Asserson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Derek Asserson was last updated on April 1, 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.

Active since April 15, 2022PECOS Enrolled

920 MADISON AVE STE 447, MEMPHIS, TN 38163(901) 448-7635 Get Directions Write a Review

NPPES record last updated: April 1, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 1, 2024, Apr 21, 2022, Apr 15, 2022 (3 updates tracked since 2022).

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About Derek Bradley Asserson Md NPPES

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

DEREK BRADLEY ASSERSON MD (NPI 1518600774) is an individual student in an organized health care education/training program in Memphis, Tennessee and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1518600774

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDEREK BRADLEY ASSERSONCredential: MD

Location Address920 MADISON AVE STE 447Memphis, TN 38163

Mailing Address910 Madison Ave Ste 315Memphis, TN 38103-3454 · (901) 448-1350

Phone(901) 448-7635

Sole ProprietorYes

Enumeration DateApril 15, 2022

Last NPPES UpdateApril 1, 20243 updates tracked since enumeration

NPPES CertifiedApril 1, 2024

✔ NPI 1518600774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

920 MADISON AVE STE 447, Memphis, TN 38163

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Derek Bradley Asserson Md 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.

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Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIELLE SIERRA