DR. DEREK MIKEL CARLSON D.O. NPI 1093911885

NPI Information

NPI: 1093911885
Provider Name: DR. DEREK MIKEL CARLSON, D.O.
Classification: Military Health Care Provider - 171000000X
Entity Type: Individual
Address: 2817 ROCK MERRITT AVE
FORT BRAGG, NC
ZIP 28310
Phone: (910) 907-8922

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NPI Details

DR. Derek Mikel Carlson, D.O. is a military health care provider in Fort Bragg, NC. The provider is active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. DR. Derek Mikel Carlson, D.O. NPI is 1093911885. 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:

2817 ROCK MERRITT AVE
FORT BRAGG, NC
ZIP 28310-001
Phone: (910) 907-8922
Fax: (910) 907-6069

The enumeration date for this NPI number is 6/27/2007 and was last updated on 2/24/2025.

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	207P00000X	Emergency Medicine		252015	NEW YORK	No
2	2083A0100X	Preventive Medicine	Aerospace Medicine	252015	NEW YORK	No
3	390200000X	Student in an Organized Health Care Education/Training Program				No
4	171000000X	Military Health Care Provider		03325	KENTUCKY	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: 3/30/2025

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