Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Derek Burkum, PA

Individual provider Medical Physician Assistant · NPI 1760671200

Derek Burkum, PA is a Medical Physician Assistant in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona and Florida.

Licensed in
AZ, FL
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

3929 E Bell Rd
Phoenix, AZ 85032-2112
Phone: (602) 923-5622
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 4501 (AZ)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA9104392 (FL)

Record details

NPI number1760671200
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedOctober 22, 2007
Last updated in NPPESMarch 8, 2017

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