Derek Christopher Bontrager, CRCST,CFA

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

114919 Issued in AZ

Practice address

1840 N Jasper Dr Ste 2
Flagstaff, AZ 86001-1634

Phone

(866) 974-2673

Fax

(866) 939-2673

NPI assigned

Jun 6, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1244246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1518193382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18444 N 25TH AVE STE 310",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850231266",
            "telephone_number": "623-241-8741",
            "fax_number": "623-544-5531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 N JASPER DR STE 2",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860011634",
            "telephone_number": "866-974-2673",
            "fax_number": "866-939-2673"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 N Switzer Canyon Dr",
            "address_purpose": "LOCATION",
            "city": "Flagstaff",
            "state": "AZ",
            "postal_code": "860014845",
            "country_code": "US",
            "telephone_number": "928-773-2280",
            "fax_number": "928-773-2281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BONTRAGER",
        "first_name": "DEREK",
        "middle_name": "CHRISTOPHER",
        "credential": "CRCST,CFA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-06",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "AZ",
            "license": "114919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Boland
• Bolt Ons
• Timothy John Bonatus, MD
• Matthew Alan Bond, MD
• Susan Kay Boness, MSW
• Honna Bordwell, RN
• Danielle Aline Borgerding, PA-C
• Barbara L. Bosch, M.D.
• Erica Boswell, RDH
• Suzanne Andry Botello, PHD, LPC

• Surgical Assistant in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Surgical Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; 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.