Individual provider Active NPI

Derrick Benjamin Graham, MD

  • Ophthalmology Physician
  • Huntsville, AL
National Provider Identifier
1649917212
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
53707 Issued in AL
Practice address
2317 Memorial Pkwy SW Ste 400
Huntsville, AL 35801-5856
Phone
(256) 808-2000
NPI assigned
May 16, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 53707 AL Primary

Addresses

Primary practice location

2317 Memorial Pkwy SW Ste 400
Huntsville, AL 35801-5856

Mailing address

2317 Memorial Pkwy SW Ste 400
Huntsville, AL 35801-5856
Phone (256) 808-2000

Other practice location 1

1238 13th Ave SE
Decatur, AL 35601-4307
Phone (256) 686-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220708000338 TX Order and Referring Only - OphthalmologyPractitioner - Ophthalmology 3476933466

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
BP10080217TXMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
The Eye Center P a Ophthalmology CurrentSince May 22, 2022 Accepting new patients
Texas Tech University Health Sciences Center Lubbock PastSince May 22, 2022 Accepting new patients

Locations

3601 4th St
Stop 7217
Lubbock, TX 79430
Phone (806) 743-2020

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1652659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1649917212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2317 MEMORIAL PKWY SW STE 400",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015856",
            "telephone_number": "256-808-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2317 MEMORIAL PKWY SW STE 400",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015856",
            "telephone_number": "256-808-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1238 13th Ave SE",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "AL",
            "postal_code": "356014307",
            "country_code": "US",
            "telephone_number": "256-686-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "DERRICK",
        "middle_name": "BENJAMIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-16",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AL",
            "license": "53707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.