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MR. BRANDON POMAIKAI PENEBACKER PA-C
NPI 1962754820
Physician Assistant in Fort Bragg, NC

Active since October 02, 2012
TAGAYTA DR BLDG C-1722, FORT BRAGG, NC 28310(910) 907-8282 Get Directions Write a Review

NPPES record last updated: October 2, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mr. Brandon Pomaikai Penebacker Pa-c NPPES

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

MR. BRANDON POMAIKAI PENEBACKER PA-C (NPI 1962754820) is an individual physician assistant in Fort Bragg, North Carolina and active in the NPI registry since October 2012.

NPPES Registry Identity

NPI1962754820
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. BRANDON POMAIKAI PENEBACKERCredential: PA-C
Location AddressTAGAYTA DR BLDG C-1722Fort Bragg, NC 28310-0001
Mailing Address504 Murray Fork DrFayetteville, NC 28314-0958 · (910) 973-2530
Phone(910) 907-8282
Sole ProprietorYes
Enumeration DateOctober 2, 2012
✔ NPI 1962754820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
TAGAYTA DR BLDG C-1722, Fort Bragg, NC 28310
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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 Brandon Penebacker's NPI number?

The NPI number for Brandon Penebacker is 1962754820. It was assigned to this individual provider in the NPPES registry on October 2, 2012.

Where is Brandon Penebacker located?

Brandon Penebacker practices at Tagayta Dr Bldg C-1722, Fort Bragg, NC 28310. The listed phone number is (910) 907-8282.

What is Brandon Penebacker's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Brandon Penebacker was last updated on October 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.