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

Derek Vandervelde

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1053870972

Derek Vandervelde is an Emergency Medicine in Opelika, Alabama. Qualified in 2019, 7 years ago. Practices with The East Alabama Health Care Authority, a 116-clinician group and accepts Medicare assignment. Licensed in Alabama and North Carolina.

Years since qualifying
7
Licensed in
AL, NC
In the registry since
2019
Specialties on file
3
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Practice location Address checks out

2000 Pepperell Pkwy
Opelika, AL 36801-5452
Phone: (334) 528-1112
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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 DO.3215 (AL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Emergency Medicine Physician Taxonomy 207P00000X · Licence 2022-00403 (NC)

Record details

NPI number1053870972
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 19, 2019
Last updated in NPPESOctober 15, 2024
Certification dateOctober 15, 2024
Mailing address2000 Pepperell Pkwy, Opelika, AL 36801-5452

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice The East Alabama Health Care Authority — 116 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Opelika