MR. DEREK RYAN ROBERTS PA-C
NPI 1821426362
Physician Assistant in Maxwell Afb, AL

Active since October 18, 2013
300 TWINING ST, MAXWELL AFB, AL 36112(334) 953-3368 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 15, 2024, Jul 9, 2024, Feb 10, 2017 (3 updates tracked since 2017).

About Mr. Derek Ryan Roberts Pa-c NPPES

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

MR. DEREK RYAN ROBERTS PA-C (NPI 1821426362) is an individual physician assistant in Maxwell Afb, Alabama, licensed in Florida (PA9111316) and active in the NPI registry since October 2013.

NPPES Registry Identity

NPI1821426362
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. DEREK RYAN ROBERTSCredential: PA-C
Location Address300 TWINING STMaxwell Afb, AL 36112-6027
Mailing Address300 Twining StMaxwell Afb, AL 36112-6027
Sole ProprietorNo
Enumeration DateOctober 18, 2013
Last NPPES UpdateJuly 15, 20243 updates tracked since enumeration
NPPES CertifiedJuly 15, 2024
NPI 1821426362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in FL · PA9111316 Licensed in WV · 617 Licensed in OH · 50.003912
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

300 TWINING ST, Maxwell Afb, AL 36112

Other Identifiers 4

OtherAMD-666HI · Hawaii Physician Assistant License
Other1772WV · Wv Physician Assistant License
Other50.003912OH · Ohio License
OtherPA9111316FL · Physician Assistant

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 Practitioner (Women's Health)
300 TWINING ST, BLDG 760
MAXWELL AFB, AL 36112
Pharmacist
300 TWINING ST
MONTGOMERY, AL 36112
Nurse Practitioner (Primary Care)
300 TWINING ST
MAXWELL AFB, AL 36112
Pediatrics
300 TWINING ST, BLDG 760
MONTGOMERY, AL 36112
Military Health Care Provider (Independent Duty Medical Technicians)
300 TWINING ST
MAXWELL AFB, AL 36112
Pharmacist
300 TWINING ST
MAXWELL AFB, AL 36112
Social Worker (Clinical)
300 TWINING ST
MONTGOMERY, AL 36112
Social Worker (Clinical)
300 TWINING ST
MONTGOMERY, AL 36112

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 Roberts's NPI number?

The NPI number for Derek Roberts is 1821426362. It was assigned to this individual provider in the NPPES registry on October 18, 2013.

Where is Derek Roberts located?

Derek Roberts practices at 300 Twining St, Maxwell Afb, AL 36112. The listed phone number is (334) 953-3368.

What is Derek Roberts's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Derek Roberts was last updated on July 15, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.