DAN HEIDENREICH PA-C
NPI 1174593636
Physician Assistant - Medical in Fort Bragg, NC

Q: What is Dan Heidenreich's NPI number?

The NPI number for Dan Heidenreich is 1174593636. It was assigned to this individual provider in the NPPES registry on January 25, 2006.

Q: What is Dan Heidenreich's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Dan Heidenreich was last updated on May 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since January 25, 2006

WOMACK ARMY MEDICAL CENTER 2817 ROCK MERRITT AVE STOP A, FORT BRAGG, NC 28310(910) 907-6000 Get Directions Write a Review

NPPES record last updated: May 27, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 27, 2026, Nov 7, 2023 (2 updates tracked since 2023).

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About Dan Heidenreich Pa-c NPPES

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

DAN HEIDENREICH PA-C (NPI 1174593636) is an individual medical provider in Fort Bragg, North Carolina and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1174593636

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameDAN HEIDENREICHCredential: PA-C

Location AddressWOMACK ARMY MEDICAL CENTER 2817 ROCK MERRITT AVE STOP AFort Bragg, NC 28310-7324

Mailing AddressWomack Army Medical Center, 2817 Rock Merritt Ave Stop AFort Bragg, NC 28310-0001

Phone(910) 907-6000

Sole ProprietorNo

Enumeration DateJanuary 25, 2006

Last NPPES UpdateMay 27, 20262 updates tracked since enumeration

NPPES CertifiedMay 27, 2026

✔ NPI 1174593636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

WOMACK ARMY MEDICAL CENTER 2817 ROCK MERRITT AVE STOP A, Fort Bragg, NC 28310

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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEGHAN ELIZABETH JASTRZEMBSKI

Family Medicine

WOMACK ARMY MEDICAL CENTER 2817 ROCK MERRITT AVE STOP A
FORT BRAGG, NC 28310

Cumberland County (910) 907-6000

MR. DOUGLAS BRYAN YATES PA-C

Physician Assistant

WOMACK ARMY MEDICAL CENTER 2817 ROCK MERRITT AVE STOP A
FORT BRAGG, NC 28310

Cumberland County (910) 907-8707

DR. ANDREW DUNKLE PH.D.

Psychologist (Health)

WOMACK ARMY MEDICAL CENTER 2817 ROCK MERRITT AVE STOP A
FORT BRAGG, NC 28310

Cumberland County (910) 907-9548

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 Dan Heidenreich's NPI number?

The NPI number for Dan Heidenreich is 1174593636. It was assigned to this individual provider in the NPPES registry on January 25, 2006.

Where is Dan Heidenreich located?

Dan Heidenreich practices at Womack Army Medical Center 2817 Rock Merritt Ave Stop A, Fort Bragg, NC 28310. The listed phone number is (910) 907-6000.

What is Dan Heidenreich's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Dan Heidenreich was last updated on May 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.