Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 5

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Independent Duty Corpsman Providers

NPI Name Type Address

1477594646

Michael Dale Richardson

Individual

Hc-83 Bldg 3005

Naval Hospital Branch Clinic Mcmwtc

Bridgeport, CA

1730339763

IDC Toby Natividad Hernandez

Individual

Mwtc Bldg 3005 State Route 108

Attn: Medical

Bridgeport, CA

1649416835

IDC Duane E Postler

Individual

Bldg 3005 Sr 108

Bridgeport, CA

1861785651

Greg Urick

Individual

Sr 108 Bldg 3005

Dewert Branch Medical Clinic

Bridgeport, CA

1871786335

IDC Elliott O Martinez

Individual

State Road 108 Bldg 3005

Dewert Branch Health Clinic

Bridgeport, CA

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