Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 760

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Independent Duty Corpsman Providers

NPI Name Type Address

1265609333

MR. IDC Joseph E Green

Individual

140 Sylvester Rd, Bldg 139

San Diego, CA

1912273343

MR. SFIDC Marc Damien Sevigny

Individual

34101 Farenholt Ave

Building 14

San Diego, CA

1003182254

MR. IDC Gabriel A Michaels

Individual

34101 Farenholt Ave

San Diego, CA

1003173741

MR. I.D.C. Christopher Demarcus Hawkins

Individual

2348 Trident Way

San Diego, CA

1538427968

I.D.C. Ryan Gregory Gardiner

Individual

2348 Trident Way

San Diego, CA

1689934879

IDC Neil Allen Regero Nucup

Individual

1802 Rocky Shore Rd

San Diego, CA

1417218082

Kyalon Ray Graves

Individual

34101 Farenholt Ave Bldg 14

San Diego, CA

1689935850

IDC Brandon M Berry

Individual

11123 Pegasus Ave

San Diego, CA

1669735460

IDC Jonathon Bryce Solonar

Individual

Uss Gridley (ddg-101)

San Diego, CA

1366737033

IDC Sylvia Fawson

Individual

34800 Bob Wilson Dr

San Diego, CA

1629324322

MR. IDC Richard Scott Spees

Individual

4520 51st St # Street3

San Diego, CA

1851527568

SUB IDC Gabriel Anthony Bocanegra

Individual

34800 Bob Wilson Dr

San Diego, CA

1689856221

MR. Terrence Tremayne Lawson

Individual

Nmc Sd Mercy Det

3395 Sturtevant St Suite 1

San Diego, CA

1346597234

MR. Jermy Joe Brower

Individual

Seal Team One 2534 Trident Way Bldg 614

San Diego, CA

1538416078

IDC Christopher James Washington

Individual

2524 Eniwetok Rd

San Diego, CA

1114278561

MR. IDC Michael J Rogers

Individual

34101 Farenholt Ave

Building 14

San Diego, CA

1619228574

MRS. IDC Sloane Elaine Sall

Individual

3325 Senn Rd

Suite 7

San Diego, CA

1295086122

IDC John Allen Gromer

Individual

3126 Salmon St

San Diego, CA

1609120658

MR. Christian Joel Rivera Astacio

Individual

34800 Bob Wilson Dr

Naval Medical Center San Diego

San Diego, CA

1427302421

Stephanie Nicole Morlock

Individual

2636 Tuscaloosa St

San Diego, 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