Individual provider · Type 1 NPI

Derek Bradley Douglas, DO

Emergency Medicine Physician · Fort Leonard Wood, MO

NPI number 1902307762 Active

Practice location

4234 Illinois Ave
Fort Leonard Wood, MO 65473-9098

Call (573) 596-0035 Map

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician Primary 207P00000X2021020693 (MO)

Emergency Medicine Physician: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in respo…

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About NPI 1902307762

Derek Bradley Douglas, DO's National Provider Identifier is 1902307762, issued on Feb 26, 2018. The primary taxonomy on file is Emergency Medicine Physician (207P00000X), and the practice location is in Fort Leonard Wood, MO. The record was last updated on Aug 14, 2026.