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

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Independent Duty Corpsman Providers

NPI Name Type Address

1033636568

Stephen Wescott

Individual

3402 Tarawa Rd

San Diego, CA

1629595152

Vanessa Nicole Darden

Individual

34101 Farenholt Ave

San Diego, CA

1942729983

IDC Bryan Leonard Orona

Individual

34101 Farenholt Ave

San Diego, CA

1366961302

US NAVY IDC Shayn Shropshire

Individual

34101 Farenholt Ave

San Diego, CA

1407375488

Christopher Johnson

Individual

3170 Bebas Ln

San Diego, CA

1689193443

IDC Robert Fu

Individual

34101 Farenholt Ave Bldg 14

San Diego, CA

1003325192

MR. IDC Robert Lund

Individual

34101 Farenholt Ave Bldg 14

San Diego, CA

1003325499

IDC Bradly James Stilley

Individual

34800 Bob Wilson Dr

San Diego, CA

1174033351

Kristoffer Ray Tierra Collera

Individual

34101 Farenholt Ave Bldg 14

San Diego, CA

1992215321

IDC Adam Joseph Voegtle

Individual

34101 Farenholt Ave Bldg 14

San Diego, CA

1093227985

SFIDC Roger J O'brien

Individual

34101 Farenholt Ave Bldg 14

San Diego, CA

1164934022

SF IDC Zachary Kyle Simpson

Individual

34800 Bob Wilson Dr

San Diego, CA

1417461187

SFIDC Justin Peter Schneider

Individual

3936 Texas St Apt 2

San Diego, CA

1841705910

MR. SFIDC Collin John Wiseman

Individual

34101 Farenholt Ave

San Diego, CA

1174039978

SFIDC Nelsen William Young

Individual

34101 Farenholt Ave Bldg 14

San Diego, CA

1033625835

IDC Nickolas Tyler Mcclellan

Individual

34101 Farenholt Ave Bldg 14

San Diego, CA

1184130676

IDC Jose Isidro Tello

Individual

34101 Farenholt Ave Bldg 14

San Diego, CA

1487161816

Bradley Michael Witherell

Individual

34101 Building 14, Farenholt Avenue

San Diego, CA

1902304694

SFIDC Jason Douglas Beadore-minoff

Individual

34101 Farenholt Ave Bldg 14

San Diego, CA

1538667225

MR. IDC Jeffrey Boyd

Individual

34101 Farenholt Ave Bldg 14

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