CHRISTOPHER BRITT DOMINGUEZ (NPI# 1851384770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851384770 |
| Entity Type | Individual |
| Full Name | CHRISTOPHER BRITT DOMINGUEZ |
| Credential | PA-C |
| Practice Address |
Building 139 Sotf Fort Bragg NC 28307-5000 |
| Mailing Address |
46 Memorial Dr Pinehurst NC 28374-8707 |
| Practice Telephone | 9106430729 |
| Mailing Telephone | 9107155809 |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2019-08-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
010-05392 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
1062273 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508499146 | Christopher A Dominguez | Physician Assistant | 280 Sw Natura Ave, Deerfield Beach, FL 33441-3026 | 2020-02-21 |
| 1134643620 | Christopher Dominguez | Rehabilitation Practitioner | 9650 Zelzah Ave, Northridge, CA 91325-2003 | 2017-07-27 |
| 1144617440 | Christopher Max Dominguez | Student in an Organized Health Care Education/Training Program | 1 University of New Mexico, Msc 10-6000, Albuquerque, NM 87131-0001 | 2015-04-24 |
| Street Address |
BUILDING 139 SOTF |
| City | FORT BRAGG |
| State | NC |
| Zip Code | 28307-5000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700498631 | Jaclyn Jennifer Willis | Dentist | Ardennes Street, Fort Bragg, NC 28307 | 2020-08-21 |
| 1003398850 | Bailey Moorhead | Dentist | Bldg C-6238 Ardennes Road, Fort Bragg, NC 28307 | 2018-08-29 |
| 1619454980 | Seth David Williams | Physician Assistant | Bldg C-1722 Tagatay Dr, Fort Bragg, NC 28307 | 2018-07-19 |
| 1134633894 | Ashley Andrick | Physician Assistant | 1722 Tagatay Dr, Fort Bragg, NC 28307 | 2017-11-16 |
| 1184144479 | Thomas William Hanna IIi | Dentist | Bldg C-6238 Ardennes St., Fort Bragg, NC 28307 | 2017-06-27 |
| 1720530355 | Robert Holly | Military Health Care Provider | 7606 Reilly Rd, Bldg 2, Fort Bragg, NC 28307 | 2016-10-31 |
| 1891246708 | Womack Army Medical Center | Pharmacy | 1571 Reilly Rd, Bldg 4, Ft Bragg, NC 28307 | 2016-10-17 |
| 1710319405 | Valerie D. Jefferys | Pharmacist | 2817 Reily Road Womack Army Medical Center, Apo, AE 28307 | 2013-08-05 |
| 1689976367 | Komkwuan Pholtavee Paruchabutr | Registered Nurse | Building 4-2817 Reilly Road, Fort Bragg, NC 28307 | 2010-12-01 |
| 1609032879 | Kristi Lyn Natalino | Physical Therapist | 2817 Reilly Rd Bldg 4, Physical Therapy Department, Fort Bragg, NC 28307 | 2008-08-06 |
| Find all providers in zip 28307 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316375421 | Stephen Witte | Physician Assistant | Gruber Rd Bldg C-1722, Fort Bragg, NC 28310-0001 | 2013-10-29 |
| 1619253523 | Kurt Kresta | Physician Assistant | 2817 Rielly Rd Mcxc-cod Credentials, Womack Army Medical Center, Fort Bragg, NC 28310 | 2011-10-25 |
| 1265740674 | Roger Leon Harrison | Physician Assistant | 2817 Reilly Road Mxcx-cod Credentials, Womack Army Medical Center, Fort Bragg, NC 28310 | 2010-09-20 |
| 1255651063 | Pamela R Koehler | Physician Assistant | 721a River Dr, Fort Bragg, CA 95437-5402 | 2010-06-03 |
| 1598891517 | Jeffrey Alan Weiss | Physician Assistant | Womack Army Hospital, Fort Bragg, NC 28304-0000 | 2007-02-26 |
| 1942386107 | Maureen Marnell Sevilla | Physician Assistant | Joel Health Clinic Src, Womack Army Medcen, Fort Bragg, NC 28310-0001 | 2006-10-31 |
| 1679660518 | Kane D Morgan | Physician Assistant | Reilly Rd Bldg 4-2817, Womack Army Medical Center, Fort Bragg, NC 28310-0001 | 2006-10-10 |
| 1609983360 | Wilda Ann Mccain | Physician Assistant | Womack Army Medical Center Physical Exams, Reilly Rd, Fort Bragg, NC 28310-0001 | 2006-08-25 |
| 1235171869 | Sherry Lynn Womack | Physician Assistant | M4861 Logistics Ave, Fort Bragg, NC 28310-0001 | 2006-06-11 |
| 1588625461 | Michael Douglas Newman | Physician Assistant | Clark Health Clinic, Womack Army Medical Center, Fort Bragg, NC 28310-0001 | 2006-03-30 |
| Find all providers in FORT BRAGG | ||||
| City | FORT BRAGG |
| Zip Code | 28307 |
Please comment or provide details below to improve the information on CHRISTOPHER BRITT DOMINGUEZ.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.