National Provider Identifier Database

DAVID R DERR, MD – NPI #1487683991
Diagnostic Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.


Contact Information

DAVID R DERR, MD
807 STEELS POINTE
MADISON, MS39110
Phone: 601-331-5934
Fax: 601-815-1854
Website:
Specialty Taxonomy Code
* Diagnostic Radiology 2085R0202X

* Indicates primary specialty

NPI Profile & details for DAVID R DERR

NPI Number 1487683991
Credentials MD
Entity Individual
Enumeration date 06/30/2006
Last updated 07/21/2022 - About 4 years ago
Sole proprietor1 No
Identifiers
  • MS License #: 18738
  • TN License #: 44204
  • MS Medicaid: 01536317
  • MS Other: 512G700003 MS MEDCIARE - GROUP
  • MS Other: P00261751 RAILROAD MEDICARE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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