Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 6

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Independent Duty Corpsman Providers

NPI Name Type Address

1619132669

MR. IDC Gordon David Bland JR.

Individual

Naval Submarine Base New London

Apo, AE

1306089719

IDMT Troy N Urda

Individual

Psc 57 Box 123

704 Munss/idmt

Apo, AE

1144459652

IDMT Tekesha Lashall Terry

Individual

31st Medical Group

Unit 6180 Box 245

Apo, AE

1497275515

IDC Scott Francis Rosenfield

Individual

Naval Special Warfare Unit Two

Unit 30401

Apo, AE

1699394171

IDMT Brenden Michael Lee Fowler

Individual

86th Medical Group

Unit 3215

Apo, AE

1477957454

IDC Charles Edward East JR.

Individual

Mcrd Parris Island

Apo, AE

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