Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. William Glen Goncharow, DO

Individual provider Emergency Medicine Physician · NPI 1407113103

Dr. William Glen Goncharow, DO is an Emergency Medicine in Fort Bragg, North Carolina. Qualified in 2012, 14 years ago. Practices with Kernersville Emergency Group, PLLC, a 52-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
14
Licensed in
NC
In the registry since
2012
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2817 Rock Merritt Ave
Fort Bragg, NC 28310-7324
Phone: (910) 907-7136
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 2013-01608 (NC)
General Practice Physician Taxonomy 208D00000X · Licence 2013-01608 (NC)

Record details

NPI number1407113103
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedApril 18, 2012
Last updated in NPPESJune 24, 2026
Certification dateJune 24, 2026
Mailing address2817 Rock Merritt Ave, Fort Bragg, NC 28310-0001

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Kernersville Emergency Group, Pllc — 52 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Fort Bragg