LEON ENSALADA NPI 1306011234

NPI Information

  • NPI: 1306011234
  • Provider Name: LEON ENSALADA
  • Classification: Preventive Medicine - 2083P0500X
  • Specialization: Preventive Medicine/Occupational Environmental Medicine
  • Entity Type: Individual
  • Address: WOMACK ARMY MEDICAL CTR
    2817 REILLY ROAD MCXC-COD CREDENTIALS
    FORT BRAGG, NC
    ZIP 28310
  • Phone: (910) 907-8922

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NPI Details

Leon Ensalada is a preventive medicine/occupational environmental medicine preventive medicine in Fort Bragg, NC. The provider is a preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. Leon Ensalada NPI is 1306011234. 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:

WOMACK ARMY MEDICAL CTR
2817 REILLY ROAD MCXC-COD CREDENTIALS
FORT BRAGG, NC
ZIP 28310-001
Phone: (910) 907-8922
Fax: (910) 907-6069

The enumeration date for this NPI number is 4/22/2008 and was last updated on 4/22/2008.

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
12083P0500XPreventive MedicinePreventive Medicine/Occupational Environmental Medicine042-0010521VERMONTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1B34425MEDICARE UPINTENNESSEE

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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