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

Mr. Derrick Bark, DC, ATC

Individual provider Athletic Trainer · NPI 1194277582

Mr. Derrick Bark, DC, ATC is an Athletic Trainer in Ballwin, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2016
Specialties on file
2
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

344 Woodgreen Dr
Ballwin, MO 63011-5031
Phone: (937) 570-7110
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 2023000539 (MO)
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1194277582
Entity typeIndividual (Type 1)
GenderMale
Credentials DC , ATC
Sole proprietorYes
NPI enumeratedNovember 1, 2016
Last updated in NPPESJanuary 9, 2023
Certification dateDecember 11, 2022
Mailing address344 Woodgreen Dr, Ballwin, MO 63011-5031

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