AMC WOMACK-FT BRAGG
NPI 1740377423
Military Hospital - Military General Acute Care Hospital in Fort Bragg, NC

NPI Status: Active since October 06, 2006

Contact Information

2817 REILLY ST
FORT BRAGG, NC
ZIP 28310
Phone: (910) 907-9262

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  • Organization
  • Military Hospital
  • Military General Acute Care Hospital

About AMC WOMACK-FT BRAGG

This page provides the complete NPI Profile along with additional information for Amc Womack-ft Bragg, a provider established in Fort Bragg, North Carolina operating as a Military Hospital, focusing in military general acute care hospital . The healthcare provider is registered in the NPI registry with number 1740377423 assigned on October 2006. The practitioner's primary taxonomy code is 2865M2000X. The provider is registered as an organization and their NPI record was last updated May 2025. The provider's . The authorized official of this NPI record is Marvin Primos (Ubo Manager)

NPI
1740377423
Provider Legal Name
AMC WOMACK-FT BRAGG
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
2817 REILLY ST FORT BRAGG, NC 28310
Location Phone
(910) 907-9262
Mailing Address
2817 REILLY ST MCXC-DBO-UB WAMC STOP A FORT BRAGG, NC 28310
Mailing Phone
(910) 907-6693
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
10-06-2006
Last Update Date
05-22-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Military Hospital Military General Acute Care Hospital

Taxonomy Code
2865M2000X
Type
Hospitals
Taxonomy Description
A Department of Defense (DoD) health care organization furnishing inpatient care 24 hours per day in fixed facilities, primarily for DoD beneficiaries. Entity is Defense Health Program (DHP) funded. A fixed facility is a non-temporary, non-deployed facility usually used for health care services. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the fixed facility. It includes those services and institutional costs usually included in a Diagnosis Related Group as well as pass-through items.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QM1100XAmbulatory Health Care Facilities

Clinic/Center
Military/U.S. Coast Guard Outpatient

 
2261QM1101XAmbulatory Health Care Facilities

Clinic/Center
Military and U.S. Coast Guard Ambulatory Procedure

 
3332000000XSuppliers

Military/U.S. Coast Guard Pharmacy

 
4341800000XTransportation Services

Military/U.S. Coast Guard Transport

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MARVIN PRIMOS

Authorized Official Title
UBO MANAGER
Authorized Official Phone
(910) 907-8440

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0294AOTHER (01)BCBS CMS 1500 PROVIDER ID
0465YOTHER (01)BCBS PHARMACY ID
00539OTHER (01)BCBS UB-04 PROVIDER ID

Reviews for AMC WOMACK-FT BRAGG

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1740377423
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2780671444
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 8 + 0 + 6 + 7 + 1 + 4 + 4 + 4 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1740377423 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1972551570 MEGAN BRADY OTR/L
Individual
Occupational Therapist2817 REILLY ST
FORT BRAGG, NC 28310
(910) 907-6214
1124064084 LAURA B. PRESSLEY PNP
Individual
Nurse Practitioner (Pediatrics)2817 REILLY ST WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC 28310
(910) 907-8922
1497867907MR. PETER CHRISTOPHER KOEPP PA-C
Individual
Physician Assistant (Medical)2817 REILLY ST
FORT BRAGG, NC 28310
(910) 396-7775
1306969977 JENNIFER A PIERCE LCSW
Individual
Social Worker2817 REILLY ST
FORT BRAGG, NC 28310
(910) 907-6922
1396936803 LESLEE SANDERS PHD, RD
Individual
Dietitian, Registered2817 REILLY ST WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC 28310
(910) 907-8922
1780868539 RACHEL GEORGE NP
Individual
Nurse Practitioner (Acute Care)2817 REILLY ST WQMACK ARMY MEDICAL CENTER
FORT BRAGG, NC 28310
(910) 907-8922
1629248968MS. SYLVIA D JOHNSON M.A., LPA
Individual
Psychologist (Counseling)2817 REILLY ST WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC 28310
(910) 907-7568
1982877692MRS. KRISTI L MURRAY PA-C
Individual
Physician Assistant2817 REILLY ST
FORT BRAGG, NC 28310
(910) 907-8282
1073762407 FE MERCADAL LIPIO NALL P-LCSW
Individual
Social Worker (Clinical)2817 REILLY ST WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC 28310
(910) 907-7869
1619122462 JACK A STRONG ARNP
Individual
Nurse Practitioner (Psychiatric/Mental Health)2817 REILLY ST WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC 28310
(910) 907-8922
1750526331MS. STEPHANIE M VANNEMAN RD
Individual
Dietitian, Registered2817 REILLY ST
FORT BRAGG, NC 28310
(910) 907-6134
1780820720 EBONI LAQUITA MILLER P-LCSW
Individual
Social Worker (Clinical)2817 REILLY ST MCXC COD CREDENTIALS WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC 28310
(910) 907-8922
1558509513 SHANNA REYES PSY.D.
Individual
Psychologist (Clinical)2817 REILLY ST WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC 28310
(910) 907-6069
1306087044 DAVINA N. CARRINGTON P-LCSW
Individual
Social Worker (Clinical)2817 REILLY ST WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC 28310
(910) 907-7869
1487896338 KAREN DAIGLE R.D.
Individual
Dietitian, Registered2817 REILLY ST MCXC-COD CREDENTIALS, WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC 28310
(910) 907-8922
1942430947 CARRIE ELIZABETH SAGO DPT
Individual
Physical Therapist2817 REILLY ST WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC 28310
(910) 907-8922
1982835492DR. LYDIA BELL ELLERHORST DDS
Individual
Dentist (General Practice)2817 REILLY ST MCDS NA B
FORT BRAGG, NC 28310
(910) 396-5610
1992039879 TERRY LEE KESSLER JR.
Individual
Social Worker2817 REILLY ST WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC 28310
(910) 907-8922
1902130875 CHRISTOPHER MICHAEL PAINE
Individual
Social Worker2817 REILLY ST WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC 28310
(910) 907-8922
1932437605 LAUREN ELIZABETH FINLEY PA
Individual
Physician Assistant2817 REILLY ST WAMC STOP A MCXC COD CREDENTIALS
FORT BRAGG, NC 28310
(910) 907-8707

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1740377423, enumerated in the NPI registry as an "organization" on October 06, 2006

The provider is located at 2817 Reilly St Fort Bragg, Nc 28310 and the phone number is (910) 907-9262

This medical organization specializes in Military Hospital with taxonomy code 2865M2000X with a focus in Military General Acute Care Hospital

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on October 06, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.