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

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Independent Duty Corpsman Providers

NPI Name Type Address

1508042391

IDC Scott David Egdorf

Individual

100 Brewster Blvd

Camp Lejeune, NC

1982880589

John Ray Lafferty

Individual

100 Brewster Blvd

Camp Lejeune, NC

1811173446

MRS. Rachael Naomi Bradley

Individual

100 Brewster Blvd

Camp Lejeune, NC

1497931448

Rodney A. Layton

Individual

100 Brewster Blvd

Camp Lejeune, NC

1427235324

Chad Jeremy Nelson

Individual

100 Brewster Blvd

Camp Lejeune, NC

1588842298

MR. I.D.C. Sean V Gutierrez

Individual

100 Brewster Ave

Camp Lejeune, NC

1134397920

MR. IDC Peter Robert Rona

Individual

Bldg 4389 Beaufort Rd

Naval Health Clinic

Cherry Point, NC

1568631018

MR. I.D.C Christopher James Bray

Individual

Psc Box 8023 Bldg 8029 Beaufort Rd

Naval Health Clinic Cherry Point

Cherry Point, NC

1568666584

Troy Bruce Martin

Individual

100 Brewster Blvd

Camp Lejeune, NC

1932372950

Gabriel M Gallinal

Individual

2d Marine Regiment

Attn:regimental Aid Station

Camp Lejeune, NC

1114112869

MR. IDC Steven Michael Donohoe

Individual

Halyburton Naval Health Clinic

Psc Box 8023

Cherry Point, NC

1891975983

MR. Eric Shannon Gallagher

Individual

900 Kensington Dr

Apt 923

Jacksonville, NC

1003083908

MR. Jason Huson Giecko

Individual

100 Brewster Blvd

Camp Lejeune, NC

1770780934

MRS. IDC Carmela England

Individual

100 Brewster Blvd

Camp Lejeune, NC

1518124098

INDEPENDENT DUTY COR Josephus Dwayne Carter

Individual

100 Brewster Blvd

Camp Lejeune, NC

1194984450

IDC Eric James Pearson

Individual

100 Brewster Blvd

Camp Lejeune, NC

1467611723

IDC John Lotz Mcmurry

Individual

100 Brewster Blvd

Camp Lejeune, NC

1013176189

PROF. Carolina Bornstein

Individual

Building As 100 White St

Mcas Nr

Jacksonville, NC

1386803872

MS. IDC Jennifer Louise Knuth

Individual

Psc Box 21034

Jacksonville, NC

1477713840

MR. Robert William Magness

Individual

100 Brewster Blvd

Camp Lejeune

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