DEREK BURYL HEMERICK PA-C NPI 1255093647

NPI Information

NPI: 1255093647
Provider Name: DEREK BURYL HEMERICK, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
2050A 2ND ST NE
KIRTLAND AFB, NM
ZIP 87108
Phone: (505) 843-3200
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Derek Buryl Hemerick, PA-C is a medical physician assistant in Kirtland Afb, NM. Derek Buryl Hemerick, PA-C NPI is 1255093647. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2050A 2ND ST NE
KIRTLAND AFB, NM
ZIP 87108
Phone: (505) 843-3200

The enumeration date for this NPI number is 10/12/2021 and was last updated on 3/27/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	171000000X	Military Health Care Provider				No
2	363AM0700X	Physician Assistant	Medical			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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