MR. BROC S DERRYBERRY DC
NPI 1750506838
Chiropractor in Oklahoma City, OK
About Mr. Broc S Derryberry Dc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. BROC S DERRYBERRY DC (NPI 1750506838) is an individual chiropractor in Oklahoma City, Oklahoma, licensed in Oklahoma (3816) and active in the NPI registry since April 2007. He is a graduate of Other (2006).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Broc S Derryberry Dc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Broc Derryberry reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Norman, OK 73071
- Reassigned Medicare billing, Oklahoma enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Broc Derryberry's NPI number?
The NPI number for Broc Derryberry is 1750506838. It was assigned to this individual provider in the NPPES registry on April 16, 2007.
Where is Broc Derryberry located?
Broc Derryberry practices at 5700 SE 74th St Ste 300, Oklahoma City, OK 73135. The listed phone number is (405) 701-5777.
What is Broc Derryberry's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Broc Derryberry enrolled in Medicare?
Yes. Broc Derryberry is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Broc Derryberry's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Broc Derryberry reassigns Medicare benefits to Derryberry Health PLLC (Norman, OK). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Broc Derryberry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Broc Derryberry accept?
Health plans from Blue Cross and Blue Shield of Oklahoma list Broc Derryberry as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Broc Derryberry was last updated on February 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Mr. Broc S Derryberry, DC · NPI 1750506838
Chiropractor provider in Oklahoma City, Oklahoma. Individual provider, active in the CMS NPPES registry since April 16, 2007.
## Identity
- **NPI:** 1750506838 (Entity type: Individual)
- **Enumerated:** April 16, 2007
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 3816 (Oklahoma)
- **Sole proprietor:** No
## Practice location
- **Address:** 5700 SE 74TH ST, STE 300, Oklahoma City, OK 73135
- **Phone:** (405) 701-5777 · **Fax:** (405) 701-5778
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Derryberry Health PLLC (NPI 1790947273, Norman, OK), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2006
## Record status
- **NPPES last updated:** February 5, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1750506838) · Data from the CMS NPPES public registry.