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

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Independent Duty Corpsman Providers

NPI Name Type Address

1871561274

Robert Lee Roseberry

Individual

1 Pinckney Blvd

Beaufort, SC

1588690465

MR. IDC Michael Owen Congdon

Individual

1 Pinckney Blvd

Beaufort, SC

1184827941

IDC Matthew Barnhart

Individual

Mcas Branch Health Clinic

Beaufort, SC

1144408501

IDC Matthew David Hall

Individual

1 Pinckney Blvd

Beaufort, SC

1194999185

DR. IDC Ernst Schettini

Individual

1 Pinckney Blvd

Beaufort, SC

1730484486

MR. IDC Gerald Dickson Ramones

Individual

1 Pinckney Blvd

Mcrd Parris Island, Bhc Parris Island

Beaufort, SC

1346619558

IDC Matthew Shaun Woodruff

Individual

Post Office Box 66038

Marine Aircraft Group 31

Beaufort, SC

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