Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JACOB ELY HENRIE
NPI 1013814144
Military Health Care Provider - Independent Duty Medical Technicians in Fort Bragg, NC

Active since October 22, 2026
2817 ROCK MERRITT AVENUE, FORT BRAGG, NC 28310(702) 232-7981 Get Directions Write a Review

NPPES record added: October 22, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jacob Ely Henrie NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB ELY HENRIE (NPI 1013814144) is an individual independent duty medical technicians provider in Fort Bragg, North Carolina and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1013814144
Entity TypeIndividualMale
Primary Taxonomy1710I1003X
Provider Legal NameJACOB ELY HENRIE
Location Address2817 ROCK MERRITT AVENUEFort Bragg, NC 28310-7324
Mailing Address2817 Rock Merritt AvenueFort Bragg, NC 28310-7324
Sole ProprietorNo
Enumeration DateOctober 22, 2026
NPPES CertifiedOctober 22, 2026
✔ NPI 1013814144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code1710I1003X
Definition
An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians.
2817 ROCK MERRITT AVENUE, Fort Bragg, NC 28310

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
2817 ROCK MERRITT AVENUE
FORT BRAGG, NC 28310
Obstetrics & Gynecology
2817 ROCK MERRITT AVENUE, WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC 28310
General Practice
2817 ROCK MERRITT AVENUE
FORT LIBERTY, NC 28310
Social Worker (Clinical)
2817 ROCK MERRITT AVENUE
FORT BRAGG, NC 28310
Registered Nurse
2817 ROCK MERRITT AVENUE
FORT BRAGG, NC 28310
Psychologist (Clinical)
2817 ROCK MERRITT AVENUE
FORT BRAGG, NC 28310
Physical Therapist
2817 ROCK MERRITT AVENUE
FORT BRAGG, NC 28310
Registered Nurse (Case Management)
2817 ROCK MERRITT AVENUE
FORT LIBERTY, NC 28310

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Henrie's NPI number?

The NPI number for Jacob Henrie is 1013814144. It was assigned to this individual provider in the NPPES registry on October 22, 2026.

Where is Jacob Henrie located?

Jacob Henrie practices at 2817 Rock Merritt Avenue, Fort Bragg, NC 28310. The listed phone number is (702) 232-7981.

What is Jacob Henrie's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Medical Technicians, with taxonomy code 1710I1003X.

When was this NPI record last updated?

The NPPES record for Jacob Henrie was last updated on October 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.