MEDICARE: ERIC R WILBUR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171000000X	Military Health Care Provider
2	146N00000X	Basic Emergency Medical Technician	E1903424

General Provider Information

NPI Number	:	1063375921
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIC R WILBUR

Provider Business Mailing Address
First Line	:	111 BLUE JAY CT
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28306-8203
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2929 DESERT STORM DR
Second Line	:
City	:	FORT BRAGG
State	:	NC
Zip	:	28310-9114
Country	:	US
Telephone Number	:	910-432-7001
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/08/2025
Last Update Date	:	12/08/2025

Similar Medicare Providers

1700749603 — PATRICIA MICHAELA OTOOLE
Practice Location Address:

2929 DESERT STORM DR
FORT BRAGG, NC
28310-9114

Practice Phone: 910-432-7001
Practice Fax:

1831052786 — JAMES TYLER GRIFFIN
Practice Location Address:

2929 DESERT STORM DR
FORT BRAGG, NC
28310-9114

Practice Phone: 910-432-7001
Practice Fax:

1831052794 — RICHARD ABSALON
Practice Location Address:

2929 DESERT STORM DR
FORT BRAGG, NC
28310-9114

Practice Phone: 910-432-7001
Practice Fax:

1154722122 — AMANDA HARTLEY DPT
Practice Location Address:

2929 DESERT STORM DR
FORT LIBERTY, NC
28310-9114

Practice Phone: 910-806-3358
Practice Fax:

1508939828 — KROGER TEXAS L P
Practice Location Address:

9114 CAMP BOWIE WEST BLVD
FORT WORTH, TX
76116-6023

Practice Phone: 817-560-4233
Practice Fax: 817-244-8964

1093122459 — AI DINH
Practice Location Address:

9114 CAMP BOWIE WEST BLVD
FORT WORTH, TX
76116-6023

Practice Phone: 817-560-4233
Practice Fax: 817-244-8964

Directions to “ ERIC R WILBUR ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.