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

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Independent Duty Corpsman Providers

NPI Name Type Address

1669427290

IDC Richard Brian Butorac

Individual

1711 Doolittle Ave

Fort Worth, TX

1124235445

IDC John David Brabner

Individual

1711 Doolittle Ave

Fort Worth, TX

1356318315

MR. James Kevin Campbell

Individual

1711 Doolittle Ave

Fort Worth, TX

1609168996

MR. Richard Thomas Gilbert

Individual

1711 Doolittle Ave

Fort Worth, TX

1417389461

IDC Michael A Rivard

Individual

1711 Doolittle Ave

Fort Worth, TX

1114133113

MR. IDC Carlos Santana Montalvo

Individual

4508 Timken Trl

Fort Worth, TX

1487079356

IDC SMDR Jacob Alan Seekins

Individual

1711 Doolittle Ave

Fort Worth, TX

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