PHILLIP M. SULLIVAN NRP – NPI #1962333658
Emergency Medical Technician, Paramedic

An EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards.

PHILLIP SULLIVAN is an emergency medical technician located in FORT BRAGG, NC. NPPES recently assigned the NPI number 1962333658 to PHILLIP SULLIVAN on May 29, 2026. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 146L00000X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medical Technician, Paramedic.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PHILLIP SULLIVAN below.

NPI Profile for
PHILLIP M. SULLIVAN

NPI Number
1962333658
Enumeration Date

(about a week ago)
Entity Type
Type-1  Individual (Male)
Legal Name
PHILLIP M. SULLIVAN
Credentials
NRP
Primary location
2817 ROCK MERRITT AVE
FORT BRAGG, NC 28310-0001
Phone: (910) 907-6000 Fax:
Mailing address
6445 INDEPENDENCE PLACE DR APT 412
FAYETTEVILLE, NC 28303-2592
Phone: (502) 457-4746 Fax:
Sole Proprietor
No
Updated
Certification Date
May 29, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
146L00000X
- Emergency Medical Technician, Paramedic (Primary)
NC 5157219

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.