| NPI | Name | Type | Address |
|---|---|---|---|
|
MR. IDC Joseph E Green |
Individual |
140 Sylvester Rd, Bldg 139 San Diego, CA |
|
|
MR. SFIDC Marc Damien Sevigny |
Individual |
34101 Farenholt Ave Building 14 San Diego, CA |
|
|
MR. IDC Gabriel A Michaels |
Individual |
34101 Farenholt Ave San Diego, CA |
|
|
MR. I.D.C. Christopher Demarcus Hawkins |
Individual |
2348 Trident Way San Diego, CA |
|
|
I.D.C. Ryan Gregory Gardiner |
Individual |
2348 Trident Way San Diego, CA |
|
|
IDC Neil Allen Regero Nucup |
Individual |
1802 Rocky Shore Rd San Diego, CA |
|
|
Kyalon Ray Graves |
Individual |
34101 Farenholt Ave Bldg 14 San Diego, CA |
|
|
IDC Brandon M Berry |
Individual |
11123 Pegasus Ave San Diego, CA |
|
|
IDC Jonathon Bryce Solonar |
Individual |
Uss Gridley (ddg-101) San Diego, CA |
|
|
IDC Sylvia Fawson |
Individual |
34800 Bob Wilson Dr San Diego, CA |
|
|
MR. IDC Richard Scott Spees |
Individual |
4520 51st St # Street3 San Diego, CA |
|
|
SUB IDC Gabriel Anthony Bocanegra |
Individual |
34800 Bob Wilson Dr San Diego, CA |
|
|
MR. Terrence Tremayne Lawson |
Individual |
Nmc Sd Mercy Det 3395 Sturtevant St Suite 1 San Diego, CA |
|
|
MR. Jermy Joe Brower |
Individual |
Seal Team One 2534 Trident Way Bldg 614 San Diego, CA |
|
|
IDC Christopher James Washington |
Individual |
2524 Eniwetok Rd San Diego, CA |
|
|
MR. IDC Michael J Rogers |
Individual |
34101 Farenholt Ave Building 14 San Diego, CA |
|
|
MRS. IDC Sloane Elaine Sall |
Individual |
3325 Senn Rd Suite 7 San Diego, CA |
|
|
IDC John Allen Gromer |
Individual |
3126 Salmon St San Diego, CA |
|
|
MR. Christian Joel Rivera Astacio |
Individual |
34800 Bob Wilson Dr Naval Medical Center San Diego San Diego, CA |
|
|
Stephanie Nicole Morlock |
Individual |
2636 Tuscaloosa St San Diego, CA |
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...
| 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 |