In the replies of this very similar question, there is a fascinating answer that is beautiful in its simplicity. In particular, it seems to use perhaps the most minimal assumptions one can possibly take to prove the approximate intermediate value theorem when the function is only known to be pointwise continuous.
I've perused the web a bit for references on if there is anything similar for the approximate mean value theorem. The discussions I've been able to find seem to be concerned more with the constancy principle, but nonetheless provide some insight into the situation: It seems that one way is assuming "uniform differentiability", at which point standard arguments like that of Bishop or this paper work. Another form of this proof is one where you suppose the fan theorem, at which point you can pass from the pointwise to the uniform. But, to me, this undermines the punch of the aforementioned proof of the approximate intermediate value theorem—why not suppose uniform continuity and do it like Bishop in the same way?
The question that I'm thinking about is this: What is the weakest constructive circumstance under which the approximate mean value theorem holds? Does the derivative need to be pointwise continuous? Do we need some kind of choice or compactness? Or is presupposing uniform differentiability truly the weakest we can go?