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

Copy url

Independent Duty Corpsman Providers

NPI Name Type Address

1770079535

IDC Toddy Clements

Individual

34101 Farenholt Ave

San Diego, CA

1023504883

IDC Caleb Douglas Stricklin

Individual

34101 Farenholt Ave

San Diego, CA

1851887376

MRS. IDC Catherine Reilly Kulak

Individual

34101 Building 14, Farenholt Avenue

San Diego, CA

1922594449

IDC Rockey Diagon Booc

Individual

3410 Farenholt Ave

San Diego, CA

1922586031

IDC Alexander Dakota Roque

Individual

34101 Farenholt Ave

San Diego, CA

1902386790

IDC Kalyn Mercedes Bedel

Individual

34101 Farenholt Ave

San Diego, CA

1750865457

IDC Christopher Lanier

Individual

3401 Farenholt Ave

San Diego, CA

1619442860

MR. IDC Osazuwa Michael Ighoosagie

Individual

34800 Bob Wilson Dr

San Diego, CA

1780159863

Trevor Michael Williams

Individual

34101 Farenholt Ave

San Diego, CA

1407321771

MR. Teagann W Heward

Individual

34800 Bob Wilson Dr

San Diego, CA

1578036174

IDC Michael Matthew Fregolle

Individual

34520 Bob Wilson Dr

San Diego, CA

1427521699

INDEPENDENT DUTY HM Alonso Tovar Garcia

Individual

34800 Bob Wilson Dr

San Diego, CA

1780157859

IDC James Michael Sites

Individual

Uss Shoup Ddg 86

San Diego, CA

1881167963

IDC Bradley James Allis

Individual

10229 Bordelon St

San Diego, CA

1710451398

Corey Jevon Buchanan

Individual

Naval Medical Center Balboa 34800 Bob Wilson Drive

San Diego, CA

1467703868

MR. IDC Jeffrey J Hickman

Individual

3475 Senn Rd Bldg 91

San Diego, CA

1801350442

IDC Jason Scott Reynolds

Individual

34800 Bob Wilson Dr

San Diego, CA

1457817819

Britnei Mallard

Individual

34800 Bob Wilson Dr

San Diego, CA

1407312630

IDC Richard Kenneth Pacheco

Individual

34101 Farenholt Ave Bldg 14

San Diego, CA

1366908337

MR. IDC Gerard Bagalso

Individual

10392 Hammerberg Cv

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...

Copy url
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
Copy url

Military Health Care Provider Codes

Independent Duty Medical Technicians

1710I1003X • providers: 1,299

Military Health Care Provider

171000000X • providers: 1,689