DAVID BRADLEY WILLIS PA-C, MPAS
NPI 1174280366
Physician Assistant in Fort Bragg, NC

Active since November 22, 2021
2817 ROCK MERRITT AVE STOP A, FORT BRAGG, NC 28310(910) 643-1923 Get Directions Write a Review

NPPES record last updated: October 8, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 8, 2025, Dec 10, 2024, Nov 22, 2021 (3 updates tracked since 2021).

About David Bradley Willis Pa-c, Mpas NPPES

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

DAVID BRADLEY WILLIS PA-C, MPAS (NPI 1174280366) is an individual physician assistant in Fort Bragg, North Carolina and active in the NPI registry since November 2021.

NPPES Registry Identity

NPI1174280366
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameDAVID BRADLEY WILLISCredential: PA-C, MPAS
Location Address2817 ROCK MERRITT AVE STOP AFort Bragg, NC 28310-0001
Mailing Address2817 Rock Merritt Ave Stop AFort Bragg, NC 28310-0001 · (910) 643-1923
Sole ProprietorNo
Enumeration DateNovember 22, 2021
Last NPPES UpdateOctober 8, 20253 updates tracked since enumeration
NPPES CertifiedOctober 8, 2025
NPI 1174280366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

2817 ROCK MERRITT AVE STOP A, 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.

Ophthalmology
2817 ROCK MERRITT AVE STOP A, ATTN: CREDENTIALS OFFICE
FORT BRAGG, NC 28310
Physical Therapist
2817 ROCK MERRITT AVE STOP A
FORT BRAGG, NC 28310
Psychologist
2817 ROCK MERRITT AVE STOP A
FORT BRAGG, NC 28310
Physician Assistant
2817 ROCK MERRITT AVE STOP A
FORT BRAGG, NC 28310
Physical Therapist
2817 ROCK MERRITT AVE STOP A
FORT BRAGG, NC 28310
Pharmacist
2817 ROCK MERRITT AVE STOP A
FORT LIBERTY, NC 28310
Nurse Practitioner (Family)
2817 ROCK MERRITT AVE STOP A
FORT BRAGG, NC 28310
Physician Assistant
2817 ROCK MERRITT AVE STOP A
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 Willis's NPI number?

The NPI number for David Willis is 1174280366. It was assigned to this individual provider in the NPPES registry on November 22, 2021.

Where is David Willis located?

David Willis practices at 2817 Rock Merritt Ave Stop A, Fort Bragg, NC 28310. The listed phone number is (910) 643-1923.

What is David Willis's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for David Willis was last updated on October 8, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.