Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 40

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Independent Duty Corpsman Providers

NPI Name Type Address

1619955655

Richard Collier Neal

Individual

563 Point Peter Rd

Saint Marys, GA

1285601724

IDC Norberto Caez

Individual

881 Uss James Madison Rd

Kings Bay, GA

1033188925

MR. IDC William S Legge

Individual

1061 Uss Tennessee Ave

Kings Bay, GA

1972565463

IDC Michael Todd Shull

Individual

881 Uss James Madison Rd

Kings Bay, GA

1508827197

MR. IDC Frederic Caldwell Patterson SR.

Individual

881 Uss James Madison Rd

Kings Bay, GA

1356303655

IDC Julio Esquilin

Individual

580 Uss Mariano G. Vallejo Avenue

Kings Bay, GA

1801853874

MR. IDC Barry Wayne Downing

Individual

881 Uss James Madison Rd

Kings Bay, GA

1780640722

Sean Mason

Individual

15 Natures Bounty Trl

Saint Marys, GA

1669409215

MR. IDC Mark Timothy Sizemore

Individual

Naval Branch Health Clinic

881 Uss James Madison Rd.

Kings Bay, GA

1225156441

MR. IDC David Michael Holt

Individual

341 Creekside Dr

Saint Marys, GA

1013127497

IDC Cory Dean Sant

Individual

Uss Rhode Island Ssbn 740 (blue)

1059 Uss Georgia Ave

Kings Bay, GA

1003883547

MR. IDC, BSHS,MSHS,USN David Patrick Norris

Individual

881 Uss James Madison Rd

Naval Branch Health Clinic

Cpu Kings Bay, GA

1184823932

MR. IDC Christopher F.m. Pease

Individual

881 Uss James Madison Rd

Kings Bay, GA

1144429507

MR. NAVY IDC Tony Wayne Lyle

Individual

1061 Uss Tennessee Ave

Kings Bay, GA

1568651321

MDR Westley Michael Durnell

Individual

580 Uss Mariano G. Vallejo Ave

Nssc Medical

Kings Bay, GA

1508045550

IDC Hubert Williams

Individual

814 Radford Blvd Bldg 7000

Albany, GA

1194904847

MR. IDC George Gleason Sweeney III

Individual

143 Laurel Marsh Way

Kingsland, GA

1588845762

MR. IDC James Reginald Wyche

Individual

814 Radford Blvd

Suite 20328

Albany, GA

1477761021

MR. IDC Phillip Dwayne Norman

Individual

1061 Uss Tennessee Ave

Cpu Kings Bay, GA

1023291788

MR. Jay D Carson

Individual

1050 Uss Gerogia Ave

Kings Bay, GA

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