GERALD DOUGLAS DEPOLD NPI 1245217900

NPI Information

  • NPI: 1245217900
  • Provider Name: GERALD DOUGLAS DEPOLD
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • Address: 2817 REILLY RD
    WOMACK ARMY MEDICAL CENTER
    FORT BRAGG, NC
    ZIP 28310
  • Phone: (910) 907-8922

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NPI Details

Gerald Douglas Depold is a medical physician assistant in Fort Bragg, NC. Gerald Douglas Depold NPI is 1245217900. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2817 REILLY RD
WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC
ZIP 28310-324
Phone: (910) 907-8922
Fax: (910) 907-6069

The enumeration date for this NPI number is 12/23/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedical1051876Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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