INTREPID SPIRIT CONCUSSION RECOVERY CENTER
NPI 1881168391
Clinic/Center - Military/U.S. Coast Guard Outpatient in Camp Lejeune, NC

Q: What is Intrepid Spirit Concussion Recovery Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Military/U.S. Coast Guard Outpatient, with taxonomy code 261QM1100X.

Active since January 17, 2019

100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547(910) 449-1100 Get Directions Write a Review

NPPES record last updated: January 17, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Intrepid Spirit Concussion Recovery Center NPPES

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

INTREPID SPIRIT CONCUSSION RECOVERY CENTER (NPI 1881168391) is a healthcare organization registered as a military/u.s. coast guard outpatient in Camp Lejeune, North Carolina and active in the NPI registry since January 2019. The organization lists William M Condon, Ubo Manager, as its authorized official.

NPPES Registry Identity

NPI1881168391

Entity TypeOrganization

Primary Taxonomy261QM1100X

Legal Business NameINTREPID SPIRIT CONCUSSION RECOVERY CENTER

Location Address100 BREWSTER BLVDCamp Lejeune, NC 28547-2575

Mailing Address100 Brewster BlvdCamp Lejeune, NC 28547-2575

Phone(910) 449-1100

Organization SubpartYesParent: Naval Medical Center Camp Lejeune

Authorized OfficialWilliam M CondonUbo Manager · (240) 401-3643

Enumeration DateJanuary 17, 2019

✔ NPI 1881168391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Military/U.S. Coast Guard OutpatientAmbulatory Health Care Facilities

Taxonomy Code261QM1100X

Definition

The Defense Health Program or U.S. Coast Guard funded fixed facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A fixed facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the fixed facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport.

100 BREWSTER BLVD, Camp Lejeune, NC 28547

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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.

MR. JUSTIN THOMAS DAUGHTRY D.O.

Emergency Medicine