Individual provider · Type 1 NPI

Seungkyu Brian Park, DO

Military Health Care Provider · Fort Bragg, NC

NPI number 1750145629 Active

Practice location

2817 Rock Merritt Ave
Fort Bragg, NC 28310-0001

Other practice locations

  • 9040 Jackson Ave, Tacoma, WA 98431-0001 · (253) 968-0117

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician 208D00000X2025-04054 (NC)
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.

834 other providers at this address

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About NPI 1750145629

Seungkyu Brian Park, DO's National Provider Identifier is 1750145629, issued on Feb 9, 2024. 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 Jun 11, 2026.