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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JACK PETROSKI
NPI 1235060773
Military Health Care Provider in Fort Bragg, NC

Active since May 26, 2026
2817 ROCK MERRITT AVE, FORT BRAGG, NC 28310(910) 907-8246 Get Directions Write a Review

NPPES record last updated: October 26, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 26, 2026, May 26, 2026 (2 updates tracked since 2026).

About Jack Petroski NPPES

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

JACK PETROSKI (NPI 1235060773) is an individual military health care provider provider in Fort Bragg, North Carolina and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1235060773
Entity TypeIndividualMale
Primary Taxonomy171000000X
Provider Legal NameJACK PETROSKI
Location Address2817 ROCK MERRITT AVEFort Bragg, NC 28310-0001
Mailing Address2817 Rock Merritt AveFort Bragg, NC 28310-0001
Phone(910) 907-8246
Sole ProprietorNo
Enumeration DateMay 26, 2026
Last NPPES UpdateOctober 26, 20262 updates tracked since enumeration
NPPES CertifiedOctober 26, 2026
✔ NPI 1235060773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care ProviderOther Service Providers
Taxonomy Code171000000X
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
2817 ROCK MERRITT AVE, Fort Bragg, NC 28310
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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.

JOSEPH CLAIR
Nurse Anesthetist, Certified Registered
2817 ROCK MERRITT AVE, WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC 28310
Cumberland County (910) 907-8922
CASEY TURNER PT, DPT
Physical Therapist
2817 ROCK MERRITT AVE, WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC 28310
Cumberland County (910) 907-6069
DR. ROBERT JOSEPH ROLLER JR. PT, PHD, DPT, ATC
Physical Therapist (Sports)
2817 ROCK MERRITT AVE
FORT BRAGG, NC 28310
Cumberland County (910) 907-8922
MICHAEL ANDREW SLACK DPT
Physical Therapist
2817 ROCK MERRITT AVE
FORT BRAGG, NC 28310
Cumberland County (224) 715-1689
MRS. COLLEEN MARGARET REMINSKY LAT, ATC
Specialist/Technologist (Athletic Trainer)
2817 ROCK MERRITT AVE
FORT BRAGG, NC 28310
Cumberland County (910) 908-9663
ROBERT AUSTIN JONES PA-C
Physician Assistant
2817 ROCK MERRITT AVE
FORT BRAGG, NC 28310
Cumberland County (910) 907-8922
BONNIE CLAIRE-KAMEI BARKLEY PA-S
Physician Assistant
2817 ROCK MERRITT AVE
FORT BRAGG, NC 28310
Cumberland County (910) 907-8922
JUSTINA JEAN AHN DMD
Dentist
2817 ROCK MERRITT AVE
FORT BRAGG, NC 28310
Cumberland County (910) 907-8922

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 Jack Petroski's NPI number?

The NPI number for Jack Petroski is 1235060773. It was assigned to this individual provider in the NPPES registry on May 26, 2026.

Where is Jack Petroski located?

Jack Petroski practices at 2817 Rock Merritt Ave, Fort Bragg, NC 28310. The listed phone number is (910) 907-8246.

What is Jack Petroski's specialty?

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

When was this NPI record last updated?

The NPPES record for Jack Petroski was last updated on October 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.