Derrick Bines
Student in an Organized Health Care Education/Training Program in Berkeley, California
1720583131- Practice location
- 2222 Bancroft Way Spc 4300, Berkeley, CA 94720-4300
- Phone
- 510-642-9494
- Fax
- —
- Last updated
- March 27, 2018
Derrick Bines is a Student in an Organized Health Care Education/Training Program based in Berkeley, CA. The NPI number for Derrick Bines is 1720583131. The current practice location address is 2222 Bancroft Way Spc 4300, Berkeley, CA 94720-4300 and the office can be reached by phone at 510-642-9494. The NPI was assigned on March 27, 2018 and the record was last updated in NPPES on March 27, 2018.
●Provider Profile Details
- NPI Number
- 1720583131
- Provider Name
- Derrick Bines
- Entity Type
- Individual (Type 1 NPI)
- Gender
- Male
- Primary Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X
- Sole Proprietor
- No
- Enumeration Date
- March 27, 2018
- Last Update Date
- March 27, 2018
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 2222 Bancroft Way Spc 4300
Berkeley, CA 94720-4300 - City
- Berkeley
- State
- California
- ZIP
- 94720-4300
- Country
- US
- Phone Number
- 510-642-9494
✉Business Mailing Address
- Address
- 1301 Ferry St Apt 4
Eugene, OR 97401-6304 - City
- Eugene
- State
- OR
- ZIP
- 97401-6304
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes | — | — |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Berkeley →?Frequently Asked Questions
What is the NPI number of Derrick Bines?
The NPI number of Derrick Bines is 1720583131. It was assigned on March 27, 2018 and is currently active in the NPPES registry.
What is the specialty of Derrick Bines?
Derrick Bines is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X).
Where does Derrick Bines practice?
The practice location is 2222 Bancroft Way Spc 4300, Berkeley, CA 94720-4300. The office can be reached at 510-642-9494 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1720583131 directly on the NPPES registry website at npiregistry.cms.hhs.gov.