Brandt Derrickson, ATC
NPI 1932650736 · Athletic Trainer · Bolivar, MO
Brandt Derrickson, ATC is a Athletic Trainer provider in Bolivar, MO (NPI 1932650736).
Provider details
- NPI number
- 1932650736
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- No
- License
- 2016004534 (MO)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% 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
Mailing address
Registry dates
- Enumerated
- 2016-10-18
- Last updated
- 2016-10-18
Frequently asked questions
- What is Brandt Derrickson's NPI number?
- Brandt Derrickson's National Provider Identifier (NPI) is 1932650736, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Brandt Derrickson's specialty?
- Brandt Derrickson is listed in the NPPES registry with a primary specialty of Athletic Trainer (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Brandt Derrickson located?
- Brandt Derrickson's practice location on file with NPPES is 1155 W Parkview St Ste 2d, Bolivar, MO 65613-7800.
- What is Brandt Derrickson's phone number?
- The practice phone number listed in the NPPES registry for Brandt Derrickson is (417) 777-2663.
- Is Brandt Derrickson's NPI active?
- Yes — Brandt Derrickson's NPI (1932650736) is active in the NPPES registry as of the last update on 2016-10-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.