Individual provider · Type 1 NPI

Gerald Douglas Depold

Medical Physician Assistant · Fort Bragg, NC

NPI number 1245217900 Active

Practice location

2817 Reilly Rd, Womack Army Medical Center
Fort Bragg, NC 28310-7324

Call (910) 907-8922 Map

Fax (910) 907-6069

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X1051876

Medical Physician Assistant: Definition to come...

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About NPI 1245217900

Gerald Douglas Depold's National Provider Identifier is 1245217900, issued on Dec 23, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fort Bragg, NC. The record was last updated on Jul 13, 2026.