Derick R Fenton, MD

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

14257374-1205 Issued in UT

Practice address

5417 S Commerce Dr Ste 100
Murray, UT 84107-5803

Phone

(248) 508-1266

NPI assigned

May 11, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Obstetrics/Gynecology

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bryan D Friedman DO LLCGroup PAC ID 5799909263, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20219/brand/1/csg/1/fhir/r4

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.

• Bryan D Friedman DO LLC

  • Facial Plastic Surgery Physician
  • Scottsdale, AZ
  • NPI 1841603875
  Medicare reassignment Care Compare group NPD
• Valley Perinatal Services, LLC

  • Maternal & Fetal Medicine Physician
  • Chandler, AZ
  • NPI 1174866743

  Obstetrics & Gynecology

  Medicare reassignment NPD
• Fetal and Women's Center of Arizona, LLC

  dba Fetal and Women's Center of Arizona

  • Specialist
  • Scottsdale, AZ
  • NPI 1801822119
  NPD (past)

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

{
    "created_epoch": "1305072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1750673539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5655 E BEVERLY LN",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852549206",
            "telephone_number": "248-508-1266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5417 S COMMERCE DR STE 100",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841075803",
            "telephone_number": "248-508-1266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENTON",
        "first_name": "DERICK",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-11",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "UT",
            "license": "14257374-1205",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CO",
            "license": "DR.0055326",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "67185053",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lishaun Marie Felix, M.A
• Stacy Feliz
• Joshua Richard Felt, CRNA
• Nathan Wade Felt, A.T.C.
• Weiyi Feng
• Radmila Fenton, MD
• Joshua Aaron Ferguson, APRN-BC
• Michael Hans Ferguson, P.A.
• Robert Edward Hugh Ferguson Jr., M.D.
• Julio Fernandez-Pichardo

• Gynecology Physician in Murray, UT
• Providers in Murray, UT by specialty
• Gynecology Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.