Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 7

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Independent Duty Corpsman Providers

NPI Name Type Address

1972715613

MR. IDC Juan Terrell Dozier

Individual

Psc Box 8023

Cherry Point, NC

1134397920

MR. IDC Peter Robert Rona

Individual

Bldg 4389 Beaufort Rd

Naval Health Clinic

Cherry Point, NC

1568631018

MR. I.D.C Christopher James Bray

Individual

Psc Box 8023 Bldg 8029 Beaufort Rd

Naval Health Clinic Cherry Point

Cherry Point, NC

1114112869

MR. IDC Steven Michael Donohoe

Individual

Halyburton Naval Health Clinic

Psc Box 8023

Cherry Point, NC

1871739045

IDC Michael Lee Thompson

Individual

4389 Beaufort Rd

Naval Health Clinic Cherry Point

Cherry Point, NC

1336389253

MR. IDC Andrew Thomas Hastings

Individual

Beaufort Road

Building 4389

Cherry Point, NC

1174960140

SFIDC Neely Frank Nelson

Individual

Psc Box 8023

Bldg 4389

Cherry Point, 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