Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 4

Copy url

Independent Duty Corpsman Providers

NPI Name Type Address

1992736359

IDC Keith Alan Becker

Individual

Branch Medical Clinic

Naval Weapons Station

Yorktown, VA

1982885182

MR. IDC Thomas Martin Smalls II

Individual

1808 Shupper Dr

Yorktown, VA

1548562259

IDC-NAVY Aaron Brent Vandall

Individual

Rivron 3, Nws Yorktown

Bldg 686

Yorktown, VA

1285880484

IDC Jayme Ryan Frianeza

Individual

1808 Shupper Dr

Yorktown, 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...

Copy url
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
Copy url

Military Health Care Provider Codes

Independent Duty Medical Technicians

1710I1003X • providers: 1,299

Military Health Care Provider

171000000X • providers: 1,689