Individual provider · Type 1 NPI

Jack Petroski

Military Health Care Provider · Fort Bragg, NC

NPI number 1235060773 Active

Practice location

2817 Rock Merritt Ave
Fort Bragg, NC 28310-0001

Call (910) 907-8246 Map

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider Primary 171000000XNone listed

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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About NPI 1235060773

Jack Petroski's National Provider Identifier is 1235060773, issued on May 26, 2026. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Fort Bragg, NC. The record was last updated on Oct 26, 2026.