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

Derrick James Derksen, BACADCCANDIDATE

Individual provider Case Manager/Care Coordinator · NPI 1184182016

Derrick James Derksen, BACADCCANDIDATE is a Case Manager/Care Coordinator in Oklahoma City, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2019

Practice location Address checks out

5401 SW 29th St
Oklahoma City, OK 73179-7602
Phone: (405) 686-7828
Fax: (405) 686-7827
Show map & directions

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

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X (OK)

Record details

NPI number1184182016
Entity typeIndividual (Type 1)
GenderMale
Credentials BACADCCANDIDATE
Sole proprietorYes
NPI enumeratedMarch 11, 2019
Last updated in NPPESMarch 11, 2019

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