Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 94

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Independent Duty Corpsman Providers

NPI Name Type Address

1679538268

MR. INDEPENDENT DUTY COR Christopher Daniel Garcia

Individual

Clr 17 Ras

Camp Pendleton, CA

1295872232

IDC Byron Pack

Individual

533020 Basoline Rd

Camp Horno

Camp Pendleton, CA

1255543930

IDC David Partible Carbungco

Individual

Naval Hospital Camp Pendleton

Box 555191-5191

Camp Pendleton,, CA

1477766871

MR. IDC Michael Robert Grohman

Individual

41256 Stewart Mesa Rd

Camp Pendleton, CA

1598971749

MR. IDC Dustin Adams

Individual

Naval Hospital Camp Pendleton

52 Area Branch Medical Clinic

Camp Pendleton, CA

1992909204

Kelly Marie Kendrick

Individual

Bldg 2161032 Marine Corps Base

Camp Pendleton, CA

1922209204

IDC Steven Lee Bledsoe

Individual

Clr-17 Ras, 1st Mlg

Bldg 14030

Camp Pendleton, CA

1710188875

SFIDC John C Garn

Individual

Naval Hospital Camp Pendleton

Box 555191

Camp Pendleton, CA

1669677951

MRS. IDC Teresa Meisenhalder

Individual

1st Medical Battalion 22 Gas

Bldg 22190

Camp Pendleton, CA

1780889584

MR. IDC Kirk William Stpierre

Individual

22 Area Group Aid Station

Camp Pendleton, CA

1083803555

IDC James Carl Bedingfield

Individual

31 Area Branch Medical Clinic

Bldg. 310514

Camp Pendleton, CA

1255519773

MRS. Osvaldo Diaz

Individual

3d Battalion 1st Mar Battalion Aid Station

Box 555422

Camp Pendleton, CA

1750553434

MR. IDC Clay Arthure Cooper

Individual

41256 Stuart Mesa Rd

Camp Pendleton, CA

1316110075

IDC William Domingo Hernandez

Individual

1st Battalion 4th Marines Battalion Aide Station

Camp Pendleton, CA

1881646370

MISS IDC Catherine Antonie Kaufman

Individual

Naval Hospital Camp Pendleton

Directorate Of Surgical Services

Camp Pendleton, CA

1992970735

Marrisa Antonia Mueller

Individual

13 Area Branch Clinic Bldg 13129

Naval Hospital Camp Pendleton

Camp Pendleton, CA

1467629592

MR. IDC John William Richman

Individual

Bldg H100 Santa Margarita Rd

Naval Hospital Camp Pendleton

Camp Pendleton, CA

1013184563

IDC Brett Dubois

Individual

Commanding Officer

Nhcp Box 555191

Camp Pendleton, CA

1174781314

IDC Michael Martin

Individual

Naval Hospital

Commanding Officer

Camp Pendleton, CA

1649439894

IDC Manolito Arciaga

Individual

Box 555191

Camp Pendleton Naval Hospital

Camp Pendleton, 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