Seungkyu Brian Park, DO is a
Military Health Care Provider physician based in Fort Bragg, North Carolina. Seungkyu Brian Park is licensed to practice in * (Not Available) (license number ) and his current practice location is 2817 Rock Merritt Ave, Fort Bragg, North Carolina. He can be reached at his office (for appointments etc.) via phone at
(910) 907-9262.
NPI number for Seungkyu Brian Park is 1750145629 and his current mailing address is 2817 Rock Merritt Ave, Fort Bragg, North Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1750145629.
Physician's Profile
| Full Name | Seungkyu Brian Park |
|---|
| Gender | Male |
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| Speciality | Military Health Care Provider |
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| Location | 2817 Rock Merritt Ave, Fort Bragg, North Carolina |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1750145629
- Provider Enumeration Date: 02/09/2024
- Last Update Date: 06/11/2026
Medical Identifiers
Medical identifiers for Seungkyu Brian Park such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1750145629 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208D00000X | General Practice | 2025-04054 (North Carolina) | Secondary |
| 171000000X | Military Health Care Provider | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Seungkyu Brian Park is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Seungkyu Brian Park, DO 2817 Rock Merritt Ave, Fort Bragg, NC 28310-0001 Ph: () - | Seungkyu Brian Park, DO 2817 Rock Merritt Ave, Fort Bragg, NC 28310-0001 Ph: (910) 907-9262 |
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