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

Dr. Derek Bradley Douglas, DO

Individual provider Emergency Medicine Physician · NPI 1902307762

Dr. Derek Bradley Douglas, DO is an Emergency Medicine Physician in Fort Leonard Wood, Missouri. Licensed in Missouri. Registered with an NPI since 2018.

Licensed in
MO
In the registry since
2018
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

4234 Illinois Ave
Fort Leonard Wood, MO 65473-9098
Phone: (573) 596-0035
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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 2021020693 (MO)

Record details

NPI number1902307762
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedFebruary 26, 2018
Last updated in NPPESMay 14, 2026
Certification dateMay 14, 2026

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