Derrick A Walker, D.O.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

10476500-1204 Issued in UT

Practice address

970 Medical Dr Ste 202
Brigham City, UT 84302-3286

Phone

(435) 723-0329

Fax

(435) 723-0429

NPI assigned

Aug 22, 2005

Last updated

Feb 9, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: derrick.walker@hca3.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mountainstar Cardiology St Marks LLC

  dba Heart Center at St Mark's

  • Interventional Cardiology Physician
  • Salt Lake City, UT
  • NPI 1437446168
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1427040823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 405473",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303845473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 MEDICAL DR STE 202",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "843023286",
            "telephone_number": "435-723-0329",
            "fax_number": "435-723-0429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "DERRICK",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-22",
        "last_updated": "2022-02-09",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "UT",
            "license": "10476500-1204",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "ID",
            "license": "O-0397",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IN",
            "license": "02002432A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DERRICK.WALKER@hca3.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "970 Medical Dr Ste 202",
            "city": "Brigham City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "843023286",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• W Bryce Cook (Foot Clinic of Logan)
• Christopher Aaron Wade, LCSW
• Rebeckah Wade
• Kirk Russell Waldron, FNP-C
• Jocee Morrell Walk
• Maria Walton
• Tyler Matthew Walton
• Jordan Wanberg
• Kamree Ward, MASSAGE THERAPIST
• Steven Bradley Ward, ACHMC

• Surgery Physician in Brigham City, UT
• Providers in Brigham City, UT by specialty
• Surgery Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.