DEREK C. BONTRAGER CRCST,CFA – NPI #1518193382
Specialist/Technologist, Other

A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training.

DEREK BONTRAGER is a technologist located in FLAGSTAFF, AZ. NPPES has assigned the NPI number 1518193382 to DEREK BONTRAGER on June 06, 2009. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 246ZC0007X from the Health Care Provider Taxonomy code set, which is classified as Specialist/Technologist, Other, specializing in Surgical Assistant

The NPI profile was last updated on Jan 14, 2026. 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 BONTRAGER below.

NPI Profile for
DEREK C. BONTRAGER

NPI Number
1518193382
Enumeration Date

(more than 17 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
DEREK C. BONTRAGER
Credentials
CRCST,CFA
Primary location
1840 N JASPER DR STE 2
FLAGSTAFF, AZ 86001-1634
Phone: (866) 974-2673 Fax: (866) 939-2673
1 Other location(s):
525 N Switzer Canyon Dr
Flagstaff, AZ 86001-4845
Phone: (928) 773-2280
Fax: (928) 773-2281
Mailing address
18444 N 25TH AVE STE 310
PHOENIX, AZ 85023-1266
Phone: (623) 241-8741 Fax: (623) 544-5531
Sole Proprietor
No
Updated
Certification Date
Jan 14, 2026

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
246ZC0007X
- Specialist/Technologist, Other / Surgical Assistant (Primary)
AZ 114919

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.