Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 270

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Independent Duty Corpsman Providers

NPI Name Type Address

1861692857

MR. IDC Bryan Edward Bouchard

Individual

2nd Tank Battalion

Camp Lejeune, NC

1013107499

IDC Mark Anthony Mitchell

Individual

1140 Kellum Loop Rd

#36

Jacksonville, NC

1407046766

MR. IDC Melanio Ayhon Rivera

Individual

Cg Ii Mef

Camp Lejeune, NC

1154512457

MR. Joseph Armand Clairmont JR.

Individual

229 Parnell Rd

Hubert, NC

1417148867

MR. IDC Christian Carl Kerlick JR.

Individual

305 Raintree Cir

Jacksonville, NC

1902873961

IDC Alvin Rivers

Individual

110 Marble Court

Jacksonville, NC

1629263819

MR. HM1 IDC Jason Charles Wells

Individual

Psc Box 20116

Msosg, Marsoc

Camp Lejeune, NC

1417142407

Kenneth Richard Browning

Individual

Fmtu

Psc Box 20101

Camp Lejeune, NC

1306032123

MR. IDC Steve Krishna Ramlogan

Individual

503 Corbin St Apt C4

Jacksonville, NC

1841486586

MR. INDEPENDENT DUTY COR Louis Carl Delprete

Individual

1227 Mcavoy St

Jacksonville, NC

1902092679

IDC Benjamin Paul Hebert

Individual

311 Rack Ln

Hubert, NC

1225225857

MR. I.D.C. John Arthur Fenstermacher

Individual

103 Cherrywood Ct

Jacksonville, NC

1578751756

IDC Robert Ray Stewart

Individual

100 Brewster Blvd

Camp Lejeune, NC

1629267992

IDC Justin Sutton Sutton

Individual

201 Kings Pond Dr

Jacksonville, NC

1033398342

MR. IDC Brandon Balisacan Dela Cruz

Individual

D Street

Building 202

Jacksonville, NC

1902087224

MR. IDC Junne Morada Bernardo

Individual

5730 Louisiana St

Camp Lejeune, NC

1447434501

Shane Gilley

Individual

Msoag

Bldg 202

Camp Lejeune, NC

1346426277

Larry Ryan Laws

Individual

100 Brewster Blvd

Camp Lejeune, NC

1487830352

MR. Stephen Michael Ito

Individual

100 Brewster Blvd

Camp Lejeune, NC

1205012028

MR. I.D.C. Jeremy Lee Simon

Individual

100 Brewster Blvd

Camp Lejeune, NC

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