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DR. MADISON ANNE DERRICO MD
NPI 1629923107
Military Health Care Provider in Camp Lejeune, NC

Active since March 02, 2026
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547(910) 450-4408 Get Directions Write a Review

NPPES record last updated: March 2, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Madison Anne Derrico Md NPPES

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

DR. MADISON ANNE DERRICO MD (NPI 1629923107) is an individual military health care provider provider in Camp Lejeune, North Carolina and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1629923107
Entity TypeIndividualFemale
Primary Taxonomy171000000X
Provider Legal NameDR. MADISON ANNE DERRICOCredential: MD
Location Address100 BREWSTER BLVDCamp Lejeune, NC 28547-2575
Mailing Address100 Brewster BlvdCamp Lejeune, NC 28547-2575 · (910) 450-4408
Phone(910) 450-4408
Sole ProprietorNo
Enumeration DateMarch 2, 2026
NPPES CertifiedMarch 2, 2026
✔ NPI 1629923107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care ProviderOther Service Providers
Taxonomy Code171000000X
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
100 BREWSTER BLVD, Camp Lejeune, NC 28547
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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.

MR. JUSTIN THOMAS DAUGHTRY D.O.
Emergency Medicine
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547
Onslow County (910) 450-4841
MR. JASON HUSON GIECKO
Military Health Care Provider (Independent Duty Corpsman)
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547
Onslow County (910) 451-5125
MRS. HOLLY F CARTER LPT
Physical Therapist
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547
Onslow County (910) 449-2538
JEREMY MOORE CRNA
Nurse Anesthetist, Certified Registered
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547
Onslow County (910) 450-4357
DANIELLE BERNAL MD
Surgery
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547
Onslow County (910) 450-4860
ZAINAB AL CHALABI SAVARD APRN
Nurse Practitioner (Adult Health)
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547
Onslow County (910) 449-2779
SAMANTHA ELIZABETH KING MD
Student in an Organized Health Care Education/Training Program
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547
Onslow County (910) 450-4408
MATTHEW PATRICK SULLIVAN MD
Emergency Medicine
100 BREWSTER BLVD, NAVAL HOSPITAL
CAMP LEJEUNE, NC 28547
Onslow County (910) 450-4159

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 Madison Derrico's NPI number?

The NPI number for Madison Derrico is 1629923107. It was assigned to this individual provider in the NPPES registry on March 2, 2026.

Where is Madison Derrico located?

Madison Derrico practices at 100 Brewster Blvd, Camp Lejeune, NC 28547. The listed phone number is (910) 450-4408.

What is Madison Derrico's specialty?

The primary specialty registered for this NPI is Military Health Care Provider with taxonomy code 171000000X.

When was this NPI record last updated?

The NPPES record for Madison Derrico was last updated on March 2, 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.