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

Mr. Rudy J Lopez, SO-IDC

Individual provider Independent Duty Corpsman · NPI 1114284809

Mr. Rudy J Lopez, SO-IDC is an Independent Duty Corpsman in Fort Bragg, North Carolina. Licensed in North Carolina. Registered with an NPI since 2012.

Licensed in
NC
In the registry since
2012

Practice location Partly verified

Some contact details are missing from the federal record.

Joint Special Operations Medical Ctr Usajfkswcs Stop A 3004 Ardennes ST
Fort Bragg, NC 28310-9610
Phone: (910) 369-7775
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X · Licence NEC HM8403 (NC)

Record details

NPI number1114284809
Entity typeIndividual (Type 1)
GenderMale
Credentials SO-IDC
Sole proprietorNo
NPI enumeratedApril 18, 2012
Last updated in NPPESApril 18, 2012

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