Michael Anthony Dilorenzo, PA C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

M 4861 Logistics Ave
Joel Clinic
Ft Bragg, NC 28310

Phone

(910) 907-9195

Fax

(910) 907-9828

NPI assigned

May 23, 2006

Last updated

Jul 13, 2026By the provider in NPPES

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

Credentials

Physician Assistant

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1417902131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2817 REILLY ROAD",
            "address_2": "MCXC-COD CREDENTIALS WOMACK ARMY MEDICAL CENTER",
            "city": "FORT BRAGG",
            "state": "NC",
            "postal_code": "28310",
            "telephone_number": "910-907-8922",
            "fax_number": "910-907-6069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "M 4861 LOGISTICS AVE",
            "address_2": "JOEL CLINIC",
            "city": "FT BRAGG",
            "state": "NC",
            "postal_code": "28310",
            "telephone_number": "910-907-9195",
            "fax_number": "910-907-9828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILORENZO",
        "first_name": "MICHAEL",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Marie Dicks, PHARMD
• Robert Lewis Diem, PA-C
• Matthew Difede
• Bayani Dilag, APRN
• Andrew William Dill, MD
• Joseph Dimarucut, DNP, CRNA
• Riaz Jalal Dini, DMD
• Sandi L Distefano, CRNA
• John Thomas Distelhorst, DO, MPH, FACPM
• Ethan Dixon, RD

• Physician Assistant in Fort Bragg, NC
• Providers in Fort Bragg, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.