Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MR. DEREK LEE BROAD
NPI 1518863463
Peer Specialist in Tulsa, OK

Q: What is Derek Broad's NPI number?

The NPI number for Derek Broad is 1518863463. It was assigned to this individual provider in the NPPES registry on October 16, 2026.

Q: What is Derek Broad's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

Q: When was this NPI record last updated?

The NPPES record for Derek Broad was last updated on October 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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 October 16, 2026

7803 S IRVINGTON AVE, TULSA, OK 74136(918) 804-4349 Get Directions Write a Review

NPPES record added: October 16, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Mr. Derek Lee Broad NPPES

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

MR. DEREK LEE BROAD (NPI 1518863463) is an individual peer specialist in Tulsa, Oklahoma and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1518863463

Entity TypeIndividualMale

Primary Taxonomy175T00000X

Provider Legal NameMR. DEREK LEE BROAD

Location Address7803 S IRVINGTON AVETulsa, OK 74136-8426

Mailing Address7803 S Irvington AveTulsa, OK 74136-8426 · (918) 804-4349

Phone(918) 804-4349

Sole ProprietorYes

Enumeration DateOctober 16, 2026

NPPES CertifiedOctober 16, 2026

✔ NPI 1518863463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

7803 S IRVINGTON AVE, Tulsa, OK 74136

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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 Derek Broad's NPI number?

The NPI number for Derek Broad is 1518863463. It was assigned to this individual provider in the NPPES registry on October 16, 2026.

Where is Derek Broad located?

Derek Broad practices at 7803 S Irvington Ave, Tulsa, OK 74136. The listed phone number is (918) 804-4349.

What is Derek Broad's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Derek Broad was last updated on October 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.