Individual provider · Type 1 NPI

Gregory Ruddy

Military Health Care Provider · Fort Bragg, NC

NPI number 1487440335 Active

Practice location

2817 Rock Merritt Ave
Fort Bragg, NC 28310-0001

Call (910) 907-8707 Map

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider Primary 171000000X1589436519 (VA)

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 1487440335

Gregory Ruddy's National Provider Identifier is 1487440335, issued on Apr 17, 2025. 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 Sep 23, 2026.