JONATHAN ROBERTS HALLER DSC, PA-C
NPI 1164720686
Physician Assistant - Surgical in Fort Bragg, NC
About Jonathan Roberts Haller Dsc, Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JONATHAN ROBERTS HALLER DSC, PA-C (NPI 1164720686) is an individual surgical provider in Fort Bragg, North Carolina, licensed in Washington (61085816) and active in the NPI registry since March 2011. He maintains a secondary practice location in Tacoma.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
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.
FORT BRAGG, NC 28310
FORT BRAGG, NC 28310
FORT BRAGG, NC 28310
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 Jonathan Haller's NPI number?
The NPI number for Jonathan Haller is 1164720686. It was assigned to this individual provider in the NPPES registry on March 8, 2011.
Where is Jonathan Haller located?
Jonathan Haller practices at 2817 Rock Merritt Ave, Fort Bragg, NC 28310. The listed phone number is (910) 907-8922.
What is Jonathan Haller's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
When was this NPI record last updated?
The NPPES record for Jonathan Haller was last updated on November 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Jonathan Roberts Haller, DSC, PA-C · NPI 1164720686
Surgical physician in Fort Bragg, North Carolina. Individual provider, active in the CMS NPPES registry since March 8, 2011.
## Identity
- **NPI:** 1164720686 (Entity type: Individual)
- **Enumerated:** March 8, 2011
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** 61085816 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 2817 ROCK MERRITT AVE, Fort Bragg, NC 28310-0001
- **Phone:** (910) 907-8922
## Record status
- **NPPES last updated:** November 4, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1164720686) · Data from the CMS NPPES public registry.