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

Mr. Derek Ryan Roberts, PA-C

Individual provider Physician Assistant · NPI 1821426362

Mr. Derek Ryan Roberts, PA-C is a Physician Assistant in Maxwell AFB, Alabama. Licensed in Florida, Ohio and West Virginia. Registered with an NPI since 2013.

Licensed in
FL, OH, WV
In the registry since
2013
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

300 Twining St
Maxwell AFB, AL 36112-6027
Phone: (334) 953-3368
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9111316 (FL)
Physician Assistant Taxonomy 363A00000X · Licence 617 (WV)
Physician Assistant Taxonomy 363A00000X · Licence 50.003912 (OH)

Record details

NPI number1821426362
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 18, 2013
Last updated in NPPESJuly 15, 2024
Certification dateJuly 15, 2024

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