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DR. JOSHUA LEE SULLIVAN MD
NPI 1063005163
General Practice in Fort Bragg, NC

Active since February 19, 2021
2817 ROCK MERRITT AVE, FORT BRAGG, NC 28310(910) 907-7405 Get Directions Write a Review

NPPES record last updated: April 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 15, 2024, Jul 28, 2023, Feb 19, 2021 (3 updates tracked since 2021).

About Dr. Joshua Lee Sullivan Md NPPES

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

DR. JOSHUA LEE SULLIVAN MD (NPI 1063005163) is an individual general practice provider in Fort Bragg, North Carolina, licensed in Nebraska (34933) and active in the NPI registry since February 2021.

NPPES Registry Identity

NPI1063005163
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. JOSHUA LEE SULLIVANCredential: MD
Location Address2817 ROCK MERRITT AVEFort Bragg, NC 28310-0001
Mailing Address2817 Rock Merritt AveFort Liberty, NC 28310-0001
Phone(910) 907-7405
Sole ProprietorNo
Enumeration DateFebruary 19, 2021
Last NPPES UpdateApril 15, 20243 updates tracked since enumeration
NPPES CertifiedApril 15, 2024
✔ NPI 1063005163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in NE · 34933
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2817 ROCK MERRITT AVE, Fort Bragg, NC 28310
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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.

JOSEPH CLAIR
Nurse Anesthetist, Certified Registered
2817 ROCK MERRITT AVE, WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC 28310
Cumberland County (910) 907-8922
DR. ROBERT JOSEPH ROLLER JR. PT, PHD, DPT, ATC
Physical Therapist (Sports)
2817 ROCK MERRITT AVE
FORT BRAGG, NC 28310
Cumberland County (910) 907-8922
ERIN FOLEY PT, DPT
Physical Therapist
2817 ROCK MERRITT AVE
FORT BRAGG, NC 28310
Cumberland County (910) 907-8709
MICHAEL ANDREW SLACK DPT
Physical Therapist
2817 ROCK MERRITT AVE
FORT BRAGG, NC 28310
Cumberland County (224) 715-1689
MRS. COLLEEN MARGARET REMINSKY LAT, ATC
Specialist/Technologist (Athletic Trainer)
2817 ROCK MERRITT AVE
FORT BRAGG, NC 28310
Cumberland County (910) 908-9663
ROBERT AUSTIN JONES PA-C
Physician Assistant
2817 ROCK MERRITT AVE
FORT LIBERTY, NC 28310
Cumberland County (910) 907-8922
JUSTINA JEAN AHN DMD
Dentist
2817 ROCK MERRITT AVE
FORT BRAGG, NC 28310
Cumberland County (910) 907-8922
JOSEPH PAUL BRITVEN
Student in an Organized Health Care Education/Training Program
2817 ROCK MERRITT AVE
FORT BRAGG, NC 28310
Cumberland County (910) 907-7698

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 Joshua Sullivan's NPI number?

The NPI number for Joshua Sullivan is 1063005163. It was assigned to this individual provider in the NPPES registry on February 19, 2021.

Where is Joshua Sullivan located?

Joshua Sullivan practices at 2817 Rock Merritt Ave, Fort Bragg, NC 28310. The listed phone number is (910) 907-7405.

What is Joshua Sullivan's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Joshua Sullivan was last updated on April 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.