What is Brian Derderian's NPI number?

Brian Derderian's National Provider Identifier (NPI) is 1356090021, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Brian Derderian's specialty?

Brian Derderian is listed in the NPPES registry with a primary specialty of Technician/Technologist (Eye and Vision Services Providers).

Where is Brian Derderian located?

Brian Derderian's practice location on file with NPPES is 49970 Van Dyke Ave, Shelby Township, MI 48317-1347.

What is Brian Derderian's phone number?

The practice phone number listed in the NPPES registry for Brian Derderian is (586) 991-6596.

Is Brian Derderian's NPI active?

Yes — Brian Derderian's NPI (1356090021) is active in the NPPES registry as of the last update on 2022-03-21.

IndividualActive

Brian Derderian

NPI 1356090021 · Technician/Technologist · Shelby Township, MI

Brian Derderian is a Technician/Technologist provider in Shelby Township, MI (NPI 1356090021).

Provider details

NPI number: 1356090021
Entity type: Individual
Primary specialty: Technician/TechnologistEye and Vision Services Providers
Sex: Male
Sole proprietor: No

Specialties & taxonomies

Technician/TechnologistPrimary156F00000X
Eye and Vision Services Providers

Profile Score

Established profile(54/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
4 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

49970 Van Dyke Ave

Shelby Township, MI 48317-1347

Phone: (586) 991-6596

Street-level locationGet directions

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Mailing address