Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Joshua Lee Sullivan, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1063005163

Dr. Joshua Lee Sullivan, MD is a Student in an Organized Health Care Education/Training Program in Fort Bragg, North Carolina. Licensed in Nebraska. Registered with an NPI since 2021.

Licensed in
NE
In the registry since
2021
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2817 Rock Merritt Ave
Fort Bragg, NC 28310-0001
Phone: (910) 907-7405
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 34933 (NE)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1063005163
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 19, 2021
Last updated in NPPESApril 15, 2024
Certification dateApril 15, 2024

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