Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 9
Independent Duty Corpsman Providers
| NPI | Name | Type | Address |
|---|---|---|---|
|
MR. SO-IDC Rudy J Lopez |
Individual |
Joint Special Operations Medical Ctr Usajfkswcs Stop A., 3004 Ardennes St. Fort Bragg, NC |
|
|
MR. SOIDC Amilcar Ivan Rodriguez |
Individual |
1975 Combat Medic Dr Fort Bragg, NC |
|
|
Brady Lee Haak |
Individual |
5-3845 Combat Medic Drive Fort Bragg, NC |
|
|
Jeffrey Thomas Baldwin |
Individual |
5-3845 Combat Medic Dr Fort Bragg, NC |
|
|
Joshua Paul Cuestas |
Individual |
5-3845 Combat Medic Drive Fort Bragg, NC |
|
|
MR. NRP Matthew Aaron Carlson |
Individual |
Jsomtc 5-3845 Combat Medic Rd Fort Bragg, NC |
|
|
Jose Miguel De Jesus-carrion |
Individual |
5-3845 Combat Medic Drive Fort Bragg, NC |
|
|
Kenneth Wadginski |
Individual |
5-3845 Combat Medic Drive Fort Bragg, NC |
|
|
SO-IDC Kyle Miller |
Individual |
2817 Reilly St Fort Bragg, 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...
| 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 |