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

Individual provider Physician Assistant · NPI 1578232310

Derek Dane, PA-C is a Physician Assistant in Bryan, Texas. Qualified in 2021, 5 years ago. Practices with St Joseph Regional Health Center, a 140-clinician group, works from 7 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
5
Licensed in
TX
In the registry since
2021
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2700 E 29th St Ste 260
Bryan, TX 77802-2587
Phone: (979) 774-0012
Fax: (979) 774-4636
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (6)

  • 2801 Franciscan Dr, Bryan, TX 77802-2544 — (979) 774-0012
  • 1602 Rock Prairie Rd Ste 3000, College Station, TX 77845-5989 — (979) 774-0012
  • 1604 Rock Prairie Rd, College Station, TX 77845-8343 — (979) 774-0012
  • 504 Medical Center Blvd, Conroe, TX 77304-2808 — (936) 443-4417
  • 500 Medical Center Blvd Ste 218, Conroe, TX 77304-2833 — (936) 756-2229
  • 129 Medical Park Ln Ste A, Huntsville, TX 77340-4982 — (936) 291-3459

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA15097 (TX)

Record details

NPI number1578232310
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedSeptember 7, 2021
Last updated in NPPESSeptember 9, 2025
Certification dateSeptember 9, 2025
Mailing address1426 County Road 436, Dime Box, TX 77853-5248

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice St Joseph Regional Health Center — 140 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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