Jose R. Perez

Primary specialty

Other Specialist/TechnologistTaxonomy code 246Z00000X

Practice address

National Intrepid Center of Excellence
3-4303 Longstreet Rd
Fort Bragg, NC 28310-0001

Phone

(910) 907-6972

NPI assigned

Oct 24, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1761264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1114895943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "397 BULLARD CIR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283118827",
            "telephone_number": "910-907-6972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NATIONAL INTREPID CENTER OF EXCELLENCE",
            "address_2": "3-4303 LONGSTREET RD",
            "city": "FORT BRAGG",
            "state": "NC",
            "postal_code": "283100001",
            "telephone_number": "910-907-6972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "JOSE",
        "middle_name": "R.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-10-24",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aparecio Donnell Peggins, DDS
• Justin John Peglowski, LCSW, LISW
• Timothy Pendergrass, PT, DSC, ATC
• Brandon Pomaikai Penebacker, PA-C
• Joseph C. Penick III, CRNA
• Kristin Jo-Ann Perron, PHARMD
• Brittany Perry, RD
• Kristopher Peter, DDS
• Michael Scott Peterman, DMD
• Richard T Peters, DPT OCS

• Other Specialist/Technologist in Fort Bragg, NC
• Providers in Fort Bragg, NC by specialty
• Other Specialist/Technologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; 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.