DR. JACOB LY DUONG D.O.
NPI 1104957190
Preventive Medicine - Aerospace Medicine in Camp Lejeune, NC

Q: What is Jacob Duong's NPI number?

The NPI number for Jacob Duong is 1104957190. It was assigned to this individual provider in the NPPES registry on March 8, 2007.

Q: What is Jacob Duong's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Aerospace Medicine, with taxonomy code 2083A0100X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Duong was last updated on May 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since March 08, 2007

100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547(910) 449-6126 Get Directions Write a Review

NPPES record last updated: May 18, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 18, 2022, Jul 20, 2020 (2 updates tracked since 2020).

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About Dr. Jacob Ly Duong D.o. NPPES

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

DR. JACOB LY DUONG D.O. (NPI 1104957190) is an individual aerospace medicine provider in Camp Lejeune, North Carolina, licensed in Florida (OS11893) and active in the NPI registry since March 2007. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1104957190

Entity TypeIndividualMale

Primary Taxonomy2083A0100X

Provider Legal NameDR. JACOB LY DUONGCredential: D.O.

Location Address100 BREWSTER BLVDCamp Lejeune, NC 28547-2575

Mailing Address100 Brewster BlvdCamp Lejeune, NC 28547-2575 · (910) 449-6126

Phone(910) 449-6126

Sole ProprietorNo

Enumeration DateMarch 8, 2007

Last NPPES UpdateMay 18, 20222 updates tracked since enumeration

NPPES CertifiedMay 18, 2022

✔ NPI 1104957190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPreventive Medicine · Aerospace MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2083A0100X

License✔ Licensed in FL · OS11893

Definition

Aerospace medicine focuses on the clinical care, research, and operational support of the health, safety, and performance of crewmembers and passengers of air and space vehicles, together with the support personnel who assist operation of such vehicles. This population often works and lives in remote, isolated, extreme, or enclosed environments under conditions of physical and psychological stress. Practitioners strive for an optimal human-machine match in occupational settings rich with environmental hazards and engineering countermeasures.

Also ListedNeuromusculoskeletal Medicine & OMMTaxonomy 204D00000X · License OS 11893 (FL)

Also ListedFamily MedicineTaxonomy 207Q00000X · License OS 11893 (FL)

100 BREWSTER BLVD, Camp Lejeune, NC 28547

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Secondary Practice Locations 2

Location 1220 Hovey RdPensacola, FL 32508-1044 · Phone (850) 452-2741 · Fax (850) 452-3842

Location 21711 Doolittle Ave, navy air station, fw joint reserve baseFort Worth, TX 76127-1133 · Phone (817) 782-5923

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.

MR. JUSTIN THOMAS DAUGHTRY D.O.

Emergency Medicine