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

Derek Debruin

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1619896941

Derek Debruin is a Student in an Organized Health Care Education/Training Program in Ogden, Utah. Practices as a sole proprietor. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

3959 Stadium Way
Ogden, UT 84408-0001
Phone: (801) 626-7210
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1619896941
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 11, 2026
Last updated in NPPESJuly 11, 2026
Certification dateJuly 12, 2026
Mailing address3839 Orchard Ave, Ogden, UT 84403-1807

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