Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JONATHAN ROBERTS HALLER, DSC, PA-C
ActiveJONATHAN ROBERTS HALLER, DSC, PA-C is a Surgical Physician Assistant healthcare provider located in FORT BRAGG, North Carolina. NPI 1164720686 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · FORT BRAGG, NC
Registration Details
- NPI Number
- 1164720686
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 8, 2011 (15.252671189827 yrs)
- Last Updated
- Nov 4, 2025
- License
-
61085816 (WA)
Practice Information
- Address
-
2817 ROCK MERRITT AVEFORT BRAGG, NC, 283100001Browse NC providers · Browse ZIP 28310
- Phone
- 9109078922
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Physician Assistant
- Additional Specialty
- Surgical Physician Assistant
Other Surgical Physician Assistant Providers in FORT BRAGG, NC
| Name | Credential | NPI |
|---|---|---|
| WENDY T OWEN | PA | 1861580037 |
| ROBERT R HOWES | PA-C | 1629137112 |
| MR. ALLEN RAY JONES | PA | 1780747956 |
| MR. ANTONIO MARIANO RUIZ | PA-C | 1518398502 |
| PAOLA ALEJANDRA COSSIOROJAS | PA | 1043713423 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.