US Army

Primary specialty

Military/U.S. Coast Guard Outpatient Clinic/CenterTaxonomy code 261QM1100X

License

0010-01314 Issued in NC

Legal business name

US ARMY

Practice address

5587 Lockridge Road
Fayetteville, NC 28311

Phone

(910) 988-6117

NPI assigned

Dec 3, 2008

Last updated

Dec 3, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Christopher Scott Brackman, APA-C

Title

PA

Phone

(910) 988-6117

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1228262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228262400000",
    "number": "1003051210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5587 LOCKRIDGE RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283110240",
            "telephone_number": "910-988-6117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5587 LOCKRIDGE ROAD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "28311",
            "telephone_number": "910-988-6117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "US ARMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-03",
        "last_updated": "2008-12-03",
        "status": "A",
        "authorized_official_last_name": "BRACKMAN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PA",
        "authorized_official_telephone_number": "910-988-6117",
        "authorized_official_credential": "APA-C"
    },
    "taxonomies": [
        {
            "code": "261QM1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military/U.S. Coast Guard Outpatient",
            "state": "NC",
            "license": "0010-01314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Upward Process Inc.
• Urgent Care Obstetrics & Gynecology
• Urgent Cares of America NC Inc (FastMed Urgent Care of Fayetteville)
• Urgent Cares of America North Carolina Inc (Fastmed Urgent Care of Hope Mills)
• Hailey Jane Urquijo
• US Procare Inc
• USA Sleep Diagnostic Mobile Service
• Bryan David Uslick, MD
• Kristen Uyehara, MS, BCBA
• Torina Uzzell, MSN, APRN, FNP-C

• Military/U.S. Coast Guard Outpatient Clinic/Center in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Military/U.S. Coast Guard Outpatient Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.