Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 161

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Independent Duty Corpsman Providers

NPI Name Type Address

1447227913

Timothy Nicholas Dittlinger

Individual

100 Brewster Blvd

Camp Lejeune, NC

1376510370

Charles Edward Trantham

Individual

Naval Hospital

Camp Lejeune, NC

1639147689

MR. IDC George Leo Krow JR.

Individual

Naval Hospital Camp Lejeune

100 Brewster Blvd

Camp Lejeune, NC

1508873092

MR. IDC Edwin Soto

Individual

Combat Logistics Regiment 27

2d Marine Logistics Group, Psc Box 20125

Camp Lejeune, NC

1043427396

IDC Michael Chad Gandy

Individual

Anti-terrorism Battalion, 2nd Marine Division

Unit 20165

Camp Lejeune, NC

1629285812

Walter Joseph Mcdevitt JR.

Individual

8th Regimental Aid Station

2nd Marine Division

Camp Lejeune, NC

1386851574

NAVY IDC George Conrad Fastenau

Individual

2nd Ceb Bas 2d Mardiv Ii Mef

Camp Lejeune, NC

1578765681

MILITARY IDC Chris Blane Cassell

Individual

Psc Box 20138

Camp Lejeune, NC

1821209875

MR. IDC Jason James Williams

Individual

1st Battalion, 9th Marines

Psc Box 20112

Camp Lejeune, NC

1801091285

MR. NAVY IDC Richard Justin Engle

Individual

2nd Battalion 9th Marines Bldg. 514

2nd Marine Division

Camp Lejeune, NC

1700083789

MR. IDC Richard Michael Armour

Individual

Psc Box 20101

Camp Lejeune, NC

1427255512

MR. IDC Matthew Vincent Mcclure

Individual

Bldg 111 C St

Camp Lejeune, NC

1497953509

MR. IDC Daniel Rodgers

Individual

2nd Bn 9th Mar, 2nd Marine Division

Psc 20002

Camp Lejeune, NC

1861692857

MR. IDC Bryan Edward Bouchard

Individual

2nd Tank Battalion

Camp Lejeune, NC

1407046766

MR. IDC Melanio Ayhon Rivera

Individual

Cg Ii Mef

Camp Lejeune, NC

1629263819

MR. HM1 IDC Jason Charles Wells

Individual

Psc Box 20116

Msosg, Marsoc

Camp Lejeune, NC

1417142407

Kenneth Richard Browning

Individual

Fmtu

Psc Box 20101

Camp Lejeune, NC

1578751756

IDC Robert Ray Stewart

Individual

100 Brewster Blvd

Camp Lejeune, NC

1902087224

MR. IDC Junne Morada Bernardo

Individual

5730 Louisiana St

Camp Lejeune, NC

1447434501

Shane Gilley

Individual

Msoag

Bldg 202

Camp Lejeune, NC

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