Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ERIC SUPER, MD
ActiveERIC SUPER, MD is a Sports Medicine (PM&R) healthcare provider located in FORT BRAGG, North Carolina. NPI 1336601558 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (PM&R) · FORT BRAGG, NC
Registration Details
- NPI Number
- 1336601558
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 5, 2019 (7.4012521476815 yrs)
- Last Updated
- Aug 25, 2025
- Licenses
-
0101270191 (VA)1071 (VA)
Practice Information
- Address
-
2817 ROCK MERRITT AVE STOP AFORT BRAGG, NC, 283100001Browse NC providers · Browse ZIP 28310
- Phone
- 9109078922
- Fax
- 9109076069
- Primary Specialty
-
Sports Medicine (PM&R)
2081S0010X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Sports Medicine (PM&R)
Other Sports Medicine (PM&R) Providers in FORT BRAGG, NC
| Name | Credential | NPI |
|---|---|---|
| REI DALLIN THOMAS | D.O. | 1336589225 |
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.