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

Derek Medeiros, RT, RRA, RPA

Individual provider Radiology Practitioner Assistant · NPI 1053855296

Derek Medeiros, RT, RRA, RPA is a Radiology Practitioner Assistant in Charlotte, North Carolina. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2016

Practice location Address checks out

6836 Morrison Blvd Ste 101
Charlotte, NC 28211-2612
Phone: (704) 817-0821
Fax: (704) 817-0835
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Radiology Practitioner Assistant (primary) Taxonomy 243U00000X · Licence 15MA1496 (MA)

Record details

NPI number1053855296
Entity typeIndividual (Type 1)
GenderMale
Credentials RT , RRA , RPA
Sole proprietorYes
NPI enumeratedDecember 7, 2016
Last updated in NPPESDecember 7, 2016

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