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

Individual provider Physician Assistant · NPI 1063982734

Derrick Bieller, PA-C is a Physician Assistant in Fayetteville, North Carolina. Graduated from University of Nebraska College of Medicine in 2018, 8 years ago. Works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
8
Trained at
University of Nebraska College of Medicine
Licensed in
NC
In the registry since
2018
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

1340 Walter Reed Rd Ste 202
Fayetteville, NC 28304-4451
Phone: (910) 504-3506
Fax: (910) 504-3507
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1013 Carthage St, Sanford, NC 27330-4114 — (919) 463-0021

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-12666 (NC)

Record details

NPI number1063982734
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 26, 2018
Last updated in NPPESOctober 1, 2025
Certification dateOctober 1, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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