Healthcare Provider Details

I. General information

NPI: 1003710039
Provider Name (Legal Business Name): GERALDY BRITO HM
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PSC BOX 20095
CAMP LEJEUNE NC
28542
US

IV. Provider business mailing address

PSC BOX 20095
CAMP LEJEUNE NC
28542
US

V. Phone/Fax

Practice location:
  • Phone: 910-451-3716
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146N00000X
TaxonomyBasic Emergency Medical Technician
License NumberSC605094
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: