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

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Independent Duty Corpsman Providers

NPI Name Type Address

1346426277

Larry Ryan Laws

Individual

100 Brewster Blvd

Camp Lejeune, NC

1487830352

MR. Stephen Michael Ito

Individual

100 Brewster Blvd

Camp Lejeune, NC

1205012028

MR. I.D.C. Jeremy Lee Simon

Individual

100 Brewster Blvd

Camp Lejeune, NC

1508042391

IDC Scott David Egdorf

Individual

100 Brewster Blvd

Camp Lejeune, NC

1982880589

John Ray Lafferty

Individual

100 Brewster Blvd

Camp Lejeune, NC

1811173446

MRS. Rachael Naomi Bradley

Individual

100 Brewster Blvd

Camp Lejeune, NC

1497931448

Rodney A. Layton

Individual

100 Brewster Blvd

Camp Lejeune, NC

1427235324

Chad Jeremy Nelson

Individual

100 Brewster Blvd

Camp Lejeune, NC

1588842298

MR. I.D.C. Sean V Gutierrez

Individual

100 Brewster Ave

Camp Lejeune, NC

1568666584

Troy Bruce Martin

Individual

100 Brewster Blvd

Camp Lejeune, NC

1932372950

Gabriel M Gallinal

Individual

2d Marine Regiment

Attn:regimental Aid Station

Camp Lejeune, NC

1003083908

MR. Jason Huson Giecko

Individual

100 Brewster Blvd

Camp Lejeune, NC

1770780934

MRS. IDC Carmela England

Individual

100 Brewster Blvd

Camp Lejeune, NC

1518124098

INDEPENDENT DUTY COR Josephus Dwayne Carter

Individual

100 Brewster Blvd

Camp Lejeune, NC

1194984450

IDC Eric James Pearson

Individual

100 Brewster Blvd

Camp Lejeune, NC

1467611723

IDC John Lotz Mcmurry

Individual

100 Brewster Blvd

Camp Lejeune, NC

1477713840

MR. Robert William Magness

Individual

100 Brewster Blvd

Camp Lejeune

Camp Lejeune, NC

1497915797

IDC Chanda English

Individual

100 Brewster Blvd

Camp Lejeune, NC

1134384654

IDC Thomas D Nagy

Individual

100 Brewster Blvd

Camp Lejeune, NC

1538316724

MR. USN IDC Donald Dwayne Pittman

Individual

Psc Box 20106

Marine Special Operations Advisor Group

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