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ERIC SUPER MD
NPI 1336601558
Physical Medicine & Rehabilitation - Sports Medicine in Fort Bragg, NC

Active since April 05, 2019
2817 ROCK MERRITT AVE STOP A, FORT BRAGG, NC 28310(910) 907-8922(910) 907-6069 Get Directions Write a Review

NPPES record last updated: August 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 15, 2025, Aug 16, 2024, Jun 7, 2023 and 1 more (4 updates tracked since 2019).

About Eric Super Md NPPES

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

ERIC SUPER MD (NPI 1336601558) is an individual sports medicine provider in Fort Bragg, North Carolina, licensed in Virginia (1071) and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1336601558
Entity TypeIndividualMale
Primary Taxonomy2081S0010X
Provider Legal NameERIC SUPERCredential: MD
Location Address2817 ROCK MERRITT AVE STOP AFort Bragg, NC 28310-0001
Mailing Address2817 Rock Merritt Ave Stop AFort Bragg, NC 28310-0001 · (910) 907-8922 · Fax (910) 907-6069
Phone(910) 907-8922
Fax(910) 907-6069
Sole ProprietorNo
Enumeration DateApril 5, 2019
Last NPPES UpdateAugust 25, 20254 updates tracked since enumeration
NPPES CertifiedAugust 25, 2025
✔ NPI 1336601558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081S0010X
License✔ Licensed in VA · 1071
Definition
A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.
Also ListedMilitary Health Care ProviderTaxonomy 171000000X · License 0101270191 (VA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2817 ROCK MERRITT AVE STOP A, 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.

MOLLY CUNARD
Ophthalmology
2817 ROCK MERRITT AVE STOP A, ATTN: CREDENTIALS OFFICE
FORT BRAGG, NC 28310
Cumberland County (910) 907-7830
CAROLINE MICHAELA PYZDROWSKI PT
Physical Therapist
2817 ROCK MERRITT AVE STOP A
FORT BRAGG, NC 28310
Cumberland County (630) 947-9375
JUSTINE J MAJERES
Psychologist
2817 ROCK MERRITT AVE STOP A
FORT BRAGG, NC 28310
Cumberland County (910) 907-8922
WILLIAM RICHARDSON
Physician Assistant
2817 ROCK MERRITT AVE STOP A
FORT BRAGG, NC 28310
Cumberland County (910) 432-2997
MR. MICHAEL B. WOODY PT
Physical Therapist
2817 ROCK MERRITT AVE STOP A
FORT BRAGG, NC 28310
Cumberland County (910) 907-6069
DR. DEANNA INEZ KEDICH PHARMD
Pharmacist
2817 ROCK MERRITT AVE STOP A
FORT LIBERTY, NC 28310
Cumberland County (910) 907-8922
DESTINY R REYNOLDS FNPC
Nurse Practitioner (Family)
2817 ROCK MERRITT AVE STOP A
FORT BRAGG, NC 28310
Cumberland County (910) 908-6257
JOSHUA MIN HO RODIN PA-C
Physician Assistant
2817 ROCK MERRITT AVE STOP A
FORT BRAGG, NC 28310
Cumberland County (910) 987-5756

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 Eric Super's NPI number?

The NPI number for Eric Super is 1336601558. It was assigned to this individual provider in the NPPES registry on April 5, 2019.

Where is Eric Super located?

Eric Super practices at 2817 Rock Merritt Ave Stop A, Fort Bragg, NC 28310. The listed phone number is (910) 907-8922.

What is Eric Super's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Sports Medicine, with taxonomy code 2081S0010X.

When was this NPI record last updated?

The NPPES record for Eric Super was last updated on August 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.