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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1053677831

Derek Lee Broering, MD is a Student in an Organized Health Care Education/Training Program in Kettering, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2012
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3535 Southern Blvd
Kettering, OH 45429-1221
Phone: (937) 384-6800
Fax: (937) 384-6938
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 35.122640 (OH)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1053677831
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 6, 2012
Last updated in NPPESAugust 18, 2016
Mailing address3535 Southern Blvd., Ketterng, OH 45429-1221

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