Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 20
Independent Duty Corpsman Providers
| NPI | Name | Type | Address |
|---|---|---|---|
|
IDC Stephen Keith Hubbard |
Individual |
1 Boone Rd Naval Hospital Bremerton Bremerton, WA |
|
|
MR. Alan D Garrigus |
Individual |
Branch Health Clinic Psns 1400 Farragu Ave Bremerton, WA |
|
|
MR. IDC Georges Custodio Taino |
Individual |
1400 Farragut Ave Bremerton, WA |
|
|
MR. Guillermo Venegas |
Individual |
1 Boone Rd Bremerton, WA |
|
|
IDC Shane Ray Reece |
Individual |
4068 Redwing Trail Nw Bremerton, WA |
|
|
IDC Steven Allen Bradsher |
Individual |
3350 Narrows View Ln Ne # 202 Bremerton, WA |
|
|
IDC James Jon Ruane |
Individual |
6935 Liverpool Ct Ne Bremerton, WA |
|
|
MR. IDC Brian Albert Nielson |
Individual |
1662 Northlake Way Nw Bremerton, WA |
|
|
MR. NAVY IDC Michael Nord |
Individual |
7481 Bridlevale Blvd Nw Bremerton, WA |
|
|
MR. IDC Stephen Zachary Taylor |
Individual |
62c Haven Rd Bremerton, WA |
|
|
MR. IDC Jonathon Luther Kelly |
Individual |
1 Boone Rd Naval Hospital Bremerton Bremerton, WA |
|
|
Joseph Enderton |
Individual |
3864 Chum Ln Nw Bremerton, WA |
|
|
MS. SFIDC Nancy M Coffee |
Individual |
1 Boone Road Naval Hospital Bremerton Bremerton, WA |
|
|
Gilbert Garcia |
Individual |
1 Boone Rd Naval Hospital Bremerton Bremerton, WA |
|
|
MR. Gordon John Bergman |
Individual |
2821 Montwood Ln Bremerton, WA |
|
|
Allen L Truhn |
Individual |
1 Boone Rd Attn: Family Practice Clinic Bremerton, WA |
|
|
Epafara Jeffrey Vaitautolu |
Individual |
30 Wencker Way Apt A Bremerton, WA |
|
|
IDC Dana Shay Therkildsen |
Individual |
1 Boone Rd Bremerton, WA |
|
|
MR. IDC Anthony Lee Epps |
Individual |
1 Boone Rd Bremerton, WA |
|
|
MRS. IDC Janne Lynne Wellborn |
Individual |
1 Boone Rd Bremerton, WA |
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 |