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

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Independent Duty Corpsman Providers

NPI Name Type Address

1770895062

IDC William Edward Neason

Individual

2d Bn 8th Marine Reg

Psc

Camp Lejeune, NC

1487951026

MR. INDEPENDENT DUTY HM Jody Gene Fletcher

Individual

Psc Box 20116

Camp Lejeune, NC

1568769545

SOIDC Ryan Michael Christensen

Individual

Psc Box 20116

Camp Lejeune, NC

1972893048

Heath Harbison

Individual

1211 Louis Street

Camp Lejeune, NC

1598055048

MR. IDC Aaron Eugene Sents

Individual

Marsoc A66

Psc Box 20183

Camp Lejeune, NC

1316239197

SOIDC Blake Matthew Reynolds

Individual

2d Msob, Bldg. A-66

Camp Lejeune, NC

1386938967

Raymond Earl Hoelscher

Individual

Marsoc A66

Psc Box 20183

Camp Lejeune, NC

1164719332

Tyler Scarborough

Individual

66a Courthouse Rd

Camp Lejeune, NC

1932497070

Daniel Thomas Secor

Individual

66a Courthouse Rd.

Camp Lejeune, NC

1770862435

SOIDC Michael Angelo Conti

Individual

2d Reconnaissance Bn, 2d Marine Division

Bldg A-71 Psc Box 20138

Camp Lejeune, NC

1699058438

SOIDC William Joshua Hazelwood

Individual

2d Marine Special Operations Battalion

Psc Box 20116

Camp Lejeune, NC

1043595861

MR. SOIDC Peter Moreno IV

Individual

Psc Box 20183

2d Marine Special Operations Battalion

Camp Lejeune, NC

1952687683

Paul Lutz

Individual

A66 Courthouse Bay Road

Camp Lejeune, NC

1043597768

Brendan Michael Moore

Individual

2d Marine Special Operations Battalion

Pcs Box 20183

Camp Lejeune, NC

1770850752

SPECIAL OPS IDC Darryl Glenn Beauchamp JR.

Individual

3d Marine Special Operations Battalion

Psc Box 20073

Camp Lejeune, NC

1972871564

SOIDC Victor Desantis

Individual

A-66 Snead's Ferry Rd

Camp Lejeune, NC

1336415728

Christopher David Brezina

Individual

Psc Box 20116

Camp Lejeune, NC

1942569926

IDC Federico Manuel Sanchez

Individual

1st Battalion 6th Marines Psc Box 20098

Camp Lejeune, NC

1306105069

SOIDC Bryan Eugene Jones

Individual

2d Reconnaissance Bn, 2d Marine Division Bldg A-71

Psc Box 20138

Camp Lejeune, NC

1912263203

IDC Matthew Keith Rangel

Individual

2d Marine Battalion

Aid Station

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