Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 105

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Independent Duty Corpsman Providers

NPI Name Type Address

1215904206

MR. IDC Reynaldo Afable Galang

Individual

1885 Terrier Ave

Branch Health Clinic Dam Neck Ste 100

Virginia Beach, VA

1669431771

MR. Thomas Ivan Klein

Individual

3007 Ramblewoods Ct

Virginia Beach, VA

1366411779

MR. IDC Steven K Andrews

Individual

1417 Weyburn Ct

Virginia Beach, VA

1457320731

IDC Jeffery Alan Miller

Individual

5428 Macqueen Dr

Virginia Beach, VA

1144281270

MR. SUB-IDC Ramoncito Valencia Pedro

Individual

900 Alden Ct

Virginia Beach, VA

1336176338

MR. USN IDC Daniel William Ackerman

Individual

Bhc Dam Neck

1885 Terrier Ave, Ste 100

Virginia Beach, VA

1093744427

IDC Brian Thomas Clark

Individual

3972 Shady Oaks Dr

Virginia Beach, VA

1215082862

MR. IDC Mikel E Coates

Individual

1885 Terrier Ave

Suite 100

Virginia Beach, VA

1780739110

IDC Jennifer Kaye Murphy

Individual

1550 Tomcat Blvd

Virginia Beach, VA

1336366863

IDC George R Hernandez

Individual

5733 Lilac Ln Apt 207

Virginia Beach, VA

1316146731

MR. IDC Leslie Roy Bolton

Individual

1636 Regulus Ave

Virginia Beach, VA

1417126749

IDC Damon Anderson

Individual

108 Brentwood Cir

Virginia Beach, VA

1386814697

MR. IDC Travis James Harmon

Individual

1550 Tomcat Blvd

Virginia Beach, VA

1538333091

IDC Troy Denesty Haynes

Individual

2108 Scotland St

Virginia Beach, VA

1972710168

Robert Estep Beverly JR.

Individual

2016 Adobe Ct

Virginia Beach, VA

1750543898

Larry Jason Flint

Individual

1550 Tomcat Blvd Ste 150

Virginia Beach, VA

1164673398

IDC David Jonathan Hartzell

Individual

2521 Alleghany Loop

Virginia Beach, VA

1922282201

INDEPENDENT DUTY COR William James Davis

Individual

204 Stonehall Ct

Virginia Beach, VA

1528209160

MR. SFIDC William Joseph Harris JR.

Individual

1636 Regulus Ave

Nswdg (n00m)

Virginia Beach, VA

1083944938

IDC Milagros Torres

Individual

5059 Glen Canyon Dr

Virginia Beach, VA

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