Derrick Antonio Briddell, PT, DSC, MS, SCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P11098 Issued in NC

Practice address

1496 Still Meadow Blvd Ste Dande
Salisbury, MD 21804-7511

Phone

(443) 365-2729

Fax

(443) 365-2730

NPI assigned

Jun 30, 2005

Last updated

Jan 27, 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Phirst Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Snow Hill, MD
  • NPI 1568033249

  Physical Therapist

  Medicare reassignment NPD
• Phirst Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Snow Hill, MD
  • NPI 1497473227
  NPD Authorized official
• Performance Physiotherapy, Inc.

  • Physical Therapist
  • Princess Anne, MD
  • NPI 1295131464
  Authorized official Same address or phone
• Carolina Rehabworks, Inc.

  • Physical Therapist
  • Raleigh, NC
  • NPI 1558926451
  NPD
• Atlantic Physical Therapy Rehabilitation and Sports Medicine Inc

  • Orthopedic Physical Therapist
  • Berlin, MD
  • NPI 1124117916
  NPD (past)
• Carolina Orthopedic and Sports Physical Therapy, Inc

  • Physical Therapy Clinic/Center
  • Zebulon, NC
  • NPI 1932396066
  NPD (past)

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1740287259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 54",
            "city": "ZEBULON",
            "state": "NC",
            "postal_code": "275970054",
            "telephone_number": "252-367-1118",
            "fax_number": "800-505-8690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1496 STILL MEADOW BLVD STE DANDE",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218047511",
            "telephone_number": "443-365-2729",
            "fax_number": "443-365-2730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3108 Ginger Lake Ct",
            "address_purpose": "LOCATION",
            "city": "Zebulon",
            "state": "NC",
            "postal_code": "275975737",
            "country_code": "US",
            "telephone_number": "919-404-1448",
            "fax_number": "800-505-8690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRIDDELL",
        "first_name": "DERRICK",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "PT, DSC, MS, SCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "NC",
            "license": "11098",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NC",
            "license": "P11098",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P11098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7212305",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alison Brawner
• Charles Philip Brenner, D.D.S.
• Thayane Bretas de Araujo
• Angela Renea Brewington, LCSW-C
• Hannah Allerdice Bricker, LMSW
• Brinton Woods of Salisbury, LLC
• Sarah Anne Brissey, CRNM
• Sarah Elizabeth Britt, PMHNP-BC
• Samuel Robert Brittingham
• Felicia A Brockman

• Physical Therapist in Salisbury, MD
• Providers in Salisbury, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.