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

Mr. Derek Brent Kordenbrock, NP

Individual provider Adult Health Nurse Practitioner · NPI 1245579408

Mr. Derek Brent Kordenbrock, NP is a Nurse Practitioner in Medford, Oregon. Graduated from University of California, San Francisco School of Medicine in 2012, 14 years ago. Practices with Valley Immediate Care, LLC, a 38-clinician group and accepts Medicare assignment. Licensed in California and Oregon.

Years since qualifying
14
Trained at
University of California, San Francisco School of Medicine
Licensed in
CA, OR
In the registry since
2013
Specialties on file
4
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

1345 Center Dr Unit A
Medford, OR 97501-7945
Phone: (541) 734-9030
Fax: (541) 734-9885
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 201604376NP-PP (OR)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 22446 (CA)
Occupational Health Nurse Practitioner Taxonomy 363LX0106X · Licence 201604376NP-PP (OR)
Occupational Health Nurse Practitioner Taxonomy 363LX0106X · Licence 22446 (CA)

Record details

NPI number1245579408
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedFebruary 7, 2013
Last updated in NPPESMarch 20, 2023
Certification dateMarch 20, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Valley Immediate Care, Llc — 38 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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