IndividualActive
Madison Derrico, MD
NPI 1629923107 · Military Health Care Provider · Camp Lejeune, NC
Provider details
- NPI number
- 1629923107
- Entity type
- Individual
- Primary specialty
- Military Health Care ProviderOther Service Providers
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
100 Brewster Blvd
Camp Lejeune, NC 28547-2575
Phone: (910) 450-4408
Approximate (ZIP-level) locationGet directions
Mailing address
100 Brewster Blvd
Camp Lejeune, NC 28547-2575
Registry dates
- Enumerated
- 2026-03-02
- Last updated
- 2026-03-02
- Certified
- 2026-03-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.