DAVID BRIAN SHELLEY PA-C
NPI 1083278816
Military Health Care Provider in Fort Bragg, NC

Active since April 26, 2019PECOS Enrolled
2817 ROCK MERRITT AVE, FORT BRAGG, NC 28310(910) 907-2919 Get Directions Write a Review

NPPES record last updated: May 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 19, 2025, Mar 27, 2023, Apr 26, 2019 (3 updates tracked since 2019).

About David Brian Shelley Pa-c NPPES

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

DAVID BRIAN SHELLEY PA-C (NPI 1083278816) is an individual military health care provider provider in Fort Bragg, North Carolina, licensed in North Carolina (0010-13638) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083278816
Entity TypeIndividualMale
Primary Taxonomy171000000X
Provider Legal NameDAVID BRIAN SHELLEYCredential: PA-C
Location Address2817 ROCK MERRITT AVEFort Bragg, NC 28310-5327
Mailing Address2817 Rock Merritt AveFort Bragg, NC 28310-0001 · (910) 907-2919
Sole ProprietorYes
Enumeration DateApril 26, 2019
Last NPPES UpdateMay 19, 20253 updates tracked since enumeration
NPPES CertifiedMay 19, 2025
NPI 1083278816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyMilitary Health Care ProviderOther Service Providers
Taxonomy Code171000000X
License Licensed in NC · 0010-13638
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
Also ListedPhysician AssistantTaxonomy 363A00000X · License 1169357 (GA)
2817 ROCK MERRITT AVE, Fort Bragg, NC 28310

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

David Brian Shelley Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Nurse Anesthetist, Certified Registered
2817 ROCK MERRITT AVE, WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC 28310
Physical Therapist (Sports)
2817 ROCK MERRITT AVE
FORT BRAGG, NC 28310
Physical Therapist
2817 ROCK MERRITT AVE
FORT BRAGG, NC 28310
Physical Therapist
2817 ROCK MERRITT AVE
FORT BRAGG, NC 28310
Specialist/Technologist (Athletic Trainer)
2817 ROCK MERRITT AVE
FORT BRAGG, NC 28310
Physician Assistant
2817 ROCK MERRITT AVE
FORT LIBERTY, NC 28310
Dentist
2817 ROCK MERRITT AVE
FORT BRAGG, NC 28310
Student in an Organized Health Care Education/Training Program
2817 ROCK MERRITT AVE
FORT BRAGG, 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 David Shelley's NPI number?

The NPI number for David Shelley is 1083278816. It was assigned to this individual provider in the NPPES registry on April 26, 2019.

Where is David Shelley located?

David Shelley practices at 2817 Rock Merritt Ave, Fort Bragg, NC 28310. The listed phone number is (910) 907-2919.

What is David Shelley's specialty?

The primary specialty registered for this NPI is Military Health Care Provider with taxonomy code 171000000X.

Is David Shelley enrolled in Medicare?

Yes. David Shelley is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for David Shelley was last updated on May 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.