DR. DEREK BRADLEY DOUGLAS D.O.
NPI 1902307762
Emergency Medicine in Fort Leonard Wood, MO

Q: What is Derek Douglas's NPI number?

The NPI number for Derek Douglas is 1902307762. It was assigned to this individual provider in the NPPES registry on February 26, 2018.

Q: What is Derek Douglas's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Derek Douglas was last updated on May 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since February 26, 2018PECOS Enrolled

4234 ILLINOIS AVE, FORT LEONARD WOOD, MO 65473(573) 596-0035 Get Directions Write a Review

NPPES record last updated: May 14, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 14, 2026, May 10, 2022, Oct 8, 2021 and 2 more (5 updates tracked since 2018).

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About Dr. Derek Bradley Douglas D.o. NPPES

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

DR. DEREK BRADLEY DOUGLAS D.O. (NPI 1902307762) is an individual emergency medicine provider in Fort Leonard Wood, Missouri, licensed in Missouri (2021020693) and active in the NPI registry since February 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902307762

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDR. DEREK BRADLEY DOUGLASCredential: D.O.

Location Address4234 ILLINOIS AVEFort Leonard Wood, MO 65473-9098

Mailing Address4234 Illinois AveFort Leonard Wood, MO 65473-9098 · (573) 596-0035

Phone(573) 596-0035

Sole ProprietorNo

Enumeration DateFebruary 26, 2018

Last NPPES UpdateMay 14, 20265 updates tracked since enumeration

NPPES CertifiedMay 14, 2026

✔ NPI 1902307762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in MO · 2021020693

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

4234 ILLINOIS AVE, Fort Leonard Wood, MO 65473

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Medica and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Derek Bradley Douglas D.o. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65473 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.64 typical visit price

range $52.28 – $161.24

Typical copayment $20.41 (range $13.07 – $40.31)

Most-billed visit code 99203

Established Patient

$93.24 typical visit price

range $16.30 – $131.05

Typical copayment $23.31 (range $4.07 – $32.76)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DARRIN ALEXANDER MSW

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