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

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Independent Duty Corpsman Providers

NPI Name Type Address

1831463025

Michael Aylesworth

Individual

Building 4130077 East Marsoc

1st Marine Special Operations Battalion Medical

Camp Pendleton, CA

1740555341

MR. SFIDC Franklin Albert Thompson II

Individual

Building 62305

1st Ceb Battalion Aid Station

Camp Pendleton, CA

1306112966

SOIDC Mark Philip Little

Individual

1st Recon Bas Bldg 33308

Camp Pendleton, CA

1104182294

SOIDC Jordan R Walker

Individual

1st Marine Special Operations Btn.

Camp Pendleton, CA

1578829826

SOIDC Michael Steven Elliott

Individual

1st Marine Special Operations Btn.

Box 555341

Camp Pendleton, CA

1275890204

IDC Danny Lee Douty

Individual

2nd Battalion 1st Marines, 1st Marine Division

Box: 555401

Camp Pendleton, CA

1508124496

SOIDC Robert Maldonado

Individual

1st Marine Special Operations Batalion

Box 555341

Camp Pendleton, CA

1932371614

IDC Patrick J Gallaher

Individual

41256 Stuart Mesa Rd.

Camp Pendleton, CA

1497013999

SOIDC Travis Robichaux

Individual

20920 Area 41 Bldg 41256

1st Marine Special Operations Battallion

Camp Pendleton, CA

1881959252

SOIDC Noel Alba

Individual

1st Marine Special Operations Battalion

Box 555341

Camp Pendleton, CA

1457619025

MR. SOIDC Jed Vicente Cayanan

Individual

Box 555341

1st Marine Special Operations Battalion

Camp Pendleton, CA

1396970711

HMC/IDC Justin Davies

Individual

Naval Hospital Camp Pendleton

Box 555191

Camp Pendleton, CA

1285982009

MR. SOIDC Rodney C Isaacs

Individual

Box 555341

1st Marine Special Operations Battalion

Camp Pendleton, CA

1508117029

Jonathan Markey

Individual

1st Reconnaissance Batallion

Batallion Aid Station

Camp Pendleton, CA

1942552443

MR. IDC Silas Enrique Trujillo

Individual

1st Reconnaissance Battalion Bldng 33308

Camp Pendleton, CA

1609128172

SOIDC Travis Newkirk

Individual

1st Recon Bn Medical

Camp Pendleton, CA

1427396324

Rudy Contreras JR.

Individual

1st Mardiv

Box 555380

Camp Pendleton, CA

1396915229

MR. IDC Percival Gimenez Boral

Individual

1st Mlg Vandergrift Rd

Camp Pendleton, CA

1194159129

MR. IDC Patrick James Daly JR.

Individual

31 Area Branch Medical Clinic

Edson Range

Camp Pendleton, CA

1649447244

IDC Paul Ricky Ena

Individual

Bldg 13129, 14 Th St

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