DEREK M. CARLSON D.O. – NPI #1093911885
Emergency Medicine

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.

DEREK CARLSON is a physician located in FORT BRAGG, NC. NPPES has assigned the NPI number 1093911885 to DEREK CARLSON on June 27, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207P00000X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medicine.

The NPI profile was last updated on Apr 09, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DEREK CARLSON below.

NPI Profile for
DEREK M. CARLSON

NPI Number
1093911885
Enumeration Date

(about 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
DEREK M. CARLSON
Credentials
D.O.
Primary location
2817 ROCK MERRITT AVE
FORT BRAGG, NC 28310-0001
Phone: (910) 907-8922 Fax: (910) 907-6069
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Apr 09, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207P00000X
- Emergency Medicine (Primary)
NY 252015-1
2083A0100X
- Preventive Medicine / Aerospace Medicine
NY 252015-1
171000000X
- Military Health Care Provider
KY 03325

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.