JACK PETROSKI
NPI 1235060773
Student in an Organized Health Care Education/Training Program 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: May 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 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 student in an organized health care education/training program in Fort Bragg, North Carolina and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1235060773
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACK PETROSKI
Location Address2817 ROCK MERRITT AVEFort Bragg, NC 28310-0001
Mailing Address2817 Rock Merritt AveFort Bragg, NC 28310-0001
Sole ProprietorNo
Enumeration DateMay 26, 2026
NPPES CertifiedMay 26, 2026
NPI 1235060773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2817 ROCK MERRITT AVE, 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.

Nurse Anesthetist, Certified Registered
2817 ROCK MERRITT AVE, WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC 28310
Physical Therapist (Sports)
2817 ROCK MERRITT AVE
FORT BRAGG, NC 28310
Physical Therapist
2817 ROCK MERRITT AVE
FORT BRAGG, NC 28310
Physical Therapist
2817 ROCK MERRITT AVE
FORT BRAGG, NC 28310
Specialist/Technologist (Athletic Trainer)
2817 ROCK MERRITT AVE
FORT BRAGG, NC 28310
Physician Assistant
2817 ROCK MERRITT AVE
FORT LIBERTY, NC 28310
Dentist
2817 ROCK MERRITT AVE
FORT BRAGG, NC 28310
Student in an Organized Health Care Education/Training Program
2817 ROCK MERRITT AVE
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 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 Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jack Petroski was last updated on May 26, 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.