Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Brandon Micheal Latteri, PA-C

Individual provider Military Health Care Provider · NPI 1558121392

Brandon Micheal Latteri, PA-C is a Physician Assistant in Fort Liberty, North Carolina. Qualified in 2024, 2 years ago. Practices with Allegheny Clinic, a 2,300-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
2
Licensed in
NC
In the registry since
2024
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2817 Rock Merritt Ave
Fort Liberty, NC 28310-0001
Phone: (910) 907-8282
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 0010-14935 (NC)
Military Health Care Provider Taxonomy 171000000X
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1558121392
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMarch 20, 2024
Last updated in NPPESJanuary 22, 2025
Certification dateJanuary 22, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Allegheny Clinic — 2300 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Fort Liberty