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

SEUNGKYU BRIAN PARK DO
NPI 1750145629
Military Health Care Provider in Fort Bragg, NC

Active since February 09, 2024PECOS Enrolled
2817 ROCK MERRITT AVE, FORT BRAGG, NC 28310(910) 907-9262 Get Directions Write a Review

NPPES record last updated: June 11, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Seungkyu Brian Park Do NPPES

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

SEUNGKYU BRIAN PARK DO (NPI 1750145629) is an individual military health care provider provider in Fort Bragg, North Carolina and active in the NPI registry since February 2024. He is enrolled in Medicare PECOS and maintains a secondary practice location in Tacoma.

NPPES Registry Identity

NPI1750145629
Entity TypeIndividualMale
Primary Taxonomy171000000X
Provider Legal NameSEUNGKYU BRIAN PARKCredential: DO
Location Address2817 ROCK MERRITT AVEFort Bragg, NC 28310-0001
Mailing Address2817 Rock Merritt AveFort Bragg, NC 28310-0001
Sole ProprietorNo
Enumeration DateFebruary 9, 2024
Last NPPES UpdateJune 11, 2026
NPPES CertifiedJune 11, 2026
NPI 1750145629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.
Also ListedGeneral PracticeTaxonomy 208D00000X · License 2025-04054 (NC)
2817 ROCK MERRITT AVE, Fort Bragg, NC 28310

Secondary Practice Location 1

Location 19040 Jackson AveTacoma, WA 98431-0001 · Phone (253) 968-0117

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Seungkyu Brian Park Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Seungkyu Park's NPI number?

The NPI number for Seungkyu Park is 1750145629. It was assigned to this individual provider in the NPPES registry on February 9, 2024.

Where is Seungkyu Park located?

Seungkyu Park practices at 2817 Rock Merritt Ave, Fort Bragg, NC 28310. The listed phone number is (910) 907-9262.

What is Seungkyu Park's specialty?

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

Is Seungkyu Park enrolled in Medicare?

Yes. Seungkyu Park is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Seungkyu Park was last updated on June 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 57 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.