Broc S Derryberry, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3816 Issued in OK

Practice address

5700 SE 74TH St
Ste 300
Oklahoma City, OK 73135

Phone

(405) 701-5777

Fax

(405) 701-5778

NPI assigned

Apr 16, 2007

Last updated

Feb 5, 2016By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Derryberry Health PLLC

  dba Derryberry Chiropractic

  • Chiropractor
  • Norman, OK
  • NPI 1790947273
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454630400000",
    "number": "1750506838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 SE 74TH ST.",
            "address_2": "STE 300",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73135",
            "telephone_number": "405-701-5777",
            "fax_number": "405-701-5778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 SE 74TH ST",
            "address_2": "STE 300",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73135",
            "telephone_number": "405-701-5777",
            "fax_number": "405-701-5778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERRYBERRY",
        "first_name": "BROC",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-16",
        "last_updated": "2016-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randel Derose, M.A., CCC-SLP
• Jonathan Derouen
• Felix J Derousselle
• Elizabeth Derr, LPC
• Brett Derrevere, MD
• Olivia Anne Derryberry, PA-C
• Madeline Derting
• Aditya Desai, MD
• Karishma Desai, MD
• Nidhi Bimal Desai, MD

• Chiropractor in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Chiropractor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2016; 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.