Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 36

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Independent Duty Corpsman Providers

NPI Name Type Address

1649545542

IDC Omar Anibal Decastro-sosa

Individual

Nmcb One

Unit 60251

Fpo, AA

1942547450

SFIDC Thomas R. Grissom

Individual

Naval Mobile Construction Battalion One

Unit 60251

Fpo, AA

1942543475

MR. NAVY SURFACE IDC Christopher S Loy

Individual

Uss Carney (ddg 64)

Fpo, AA

1376948349

MR. IDC Charles Douglas Knight

Individual

Uss Maryland Ssbn 738

Fpo, AA

1861866451

Brent James Mcintyre

Individual

Uss Springfield (ssn 761)

Fpo, AA

1912553975

SOIDC Brandon Joseph Dapper

Individual

Camp Lejeune, Nc

2d Reconnaissance Battalion Battalion Aid Station

Fpo, AA

1851939482

SO/IDC Ryan Thomas Beason

Individual

2d Marine Raider Battalion

Fpo, AA

1861030405

Charles Smyers

Individual

2d Marine Raider Battalion

Fpo, AA

1265021034

IDC Troy D Holton

Individual

Bldg H-1

Fpo, AA

1215604723

MR. USN IDC Bradley K Neary

Individual

Joint Expeditionary Base

Special Boat Team 20

Fpo, AA

1891763777

IDC Christopher Bernard Barber

Individual

Uss Philippine Sea

Fpo, AA

1316909294

MR. Richard Keith Morrison

Individual

Uss Underwood

Fpo, AA

1558316208

MRS. IDC Rosalind Lajune Poole

Individual

Ussjohn F Kennedy Cv 67

Fpo, AA

1700832045

MR. IDC Travis L Houser

Individual

Uss Robert G. Bradley (ffg49)

Fpo, AA

1760623375

MR. IDC Raymond Richard Price

Individual

2nd Medical Battalion

Psc Box 20126

Fpo, AA

1497064430

MR. SFIDC Lennard Earl Small JR.

Individual

Uss John L. Hall (ffg-32)

Medical Department

Fpo, AA

How to obtain, renew, or terminate an NPI

Every health care provider, whether it’s a hospital, pharmacy, or individual specialist, must obtain their own NPI number. This identification number is unique and is assigned upon application. In tod...

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Taxonomy Code 1710I1002X
Specialization Independent Duty Corpsman
Display Name Independent Duty Corpsman
Taxonomy Group Other Service Providers
Taxonomy Classification Military Health Care Provider
Definition A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
Effective Date September 30, 2009
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Military Health Care Provider Codes

Independent Duty Medical Technicians

1710I1003X • providers: 1,299

Military Health Care Provider

171000000X • providers: 1,689