Individual provider Active NPI

Derek Edward Bost, PA-C

  • Physician Assistant
  • Lenoir, NC
National Provider Identifier
1952406274
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
103536 Issued in NC
Practice address
321 Mulberry St SW
Caldwell Acute Care Specialists
Lenoir, NC 28645-5720
Phone
(828) 757-5504
Fax
(828) 757-5939
NPI assigned
Sep 13, 2006
Last updated
Mar 18, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 103536 NC Primary

Addresses

Primary practice location

321 Mulberry St SW
Caldwell Acute Care Specialists
Lenoir, NC 28645-5720

Mailing address

321 Mulberry St SW
PO Box 1890
Lenoir, NC 28645-5720
Phone (828) 757-5504

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dbost107733@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060207000402 NC Practitioner - Physician Assistant 8022023464 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Brody School of Medicine at East Carolina University, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Caldwell Memorial Hospital IncGroup PAC ID 5395646970, 212 clinicians
Unc Physicians Network LLCGroup PAC ID 5496940546, 985 clinicians

Practice addresses (Care Compare)

212 Mulberry St SW
Lenoir, NC 28645-5414
Phone (828) 759-4900

321 Mulberry St SW
Lenoir, NC 28645-5720
Phone (828) 757-5218

401 Mulberry St SW
Lenoir, NC 28645-5463

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514-2601
Phone (919) 942-5123

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
103536NCMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Unc Rockingham Health Care, Inc. CurrentSince Apr 13, 2024 Accepting new patients
Unc Rockingham Health Care, Inc. CurrentSince Apr 13, 2024 Accepting new patients
Unc Physicians Network LLC CurrentSince Sep 30, 2024 Accepting new patients
Caldwell Memorial Hospital Inc CurrentSince Nov 9, 2011 Accepting new patients
Unc Physicians Network LLC CurrentSince Sep 30, 2024 Accepting new patients
Morehead Memorial Hospital Current Accepting new patients
Foothills Internal Medicine Physician Assistant Past Accepting new patients
Caldwell Hospice and Palliative Care, Inc. Past Accepting new patients
Caldwell Memorial Hospital, Inc Past Accepting new patients
Caldwell Memorial Hospital, Inc Past Accepting new patients

Locations

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123

117 E Kings Hwy
Eden, NC 27288
Phone (336) 627-6181

321 Mulberry St SW
Lenoir, NC 28645
Phone (828) 757-5100

5221 Paramount Pkwy
Ste 220
Morrisville, NC 27560
Phone (984) 215-4110

Interoperability endpoints

  • Direct secure messaging: dbost107733@direct.unc.nchie.net

Organizations & group practices 12

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1952406274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 MULBERRY ST SW",
            "address_2": "PO BOX 1890",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286455720",
            "telephone_number": "828-757-5504",
            "fax_number": "828-757-5939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 MULBERRY ST SW",
            "address_2": "CALDWELL ACUTE CARE SPECIALISTS",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286455720",
            "telephone_number": "828-757-5504",
            "fax_number": "828-757-5939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOST",
        "first_name": "DEREK",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "103536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dbost107733@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "321 Mulberry St SW",
            "address_2": "Caldwell Acute Care Specialists",
            "city": "Lenoir",
            "state": "NC",
            "country_code": "US",
            "postal_code": "286455720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lenoir, NC

Sources for this page

Verify at the official NPI Registry.