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

Copy url
Copy url

Independent Duty Corpsman Providers

NPI Name Type Address

1497915797

IDC Chanda English

Individual

100 Brewster Blvd

Camp Lejeune, NC

1285896589

MR. IDC Gerald Oliver Brant JR.

Individual

305 Wellington Pl

Jacksonville, NC

1134384654

IDC Thomas D Nagy

Individual

100 Brewster Blvd

Camp Lejeune, NC

1538316724

MR. USN IDC Donald Dwayne Pittman

Individual

Psc Box 20106

Marine Special Operations Advisor Group

Camp Lejeune, NC

1780832022

MR. IDC Barry Charles Gibson

Individual

100 Brewster Blvd

Nh Camp Lejeune

Camp Lejeune, NC

1801047741

Joshua Ash

Individual

Marine Special Operations Advisor Group

Attn: Medical Dept.

Camp Lejeune, NC

1972754810

Scott Lovvorn

Individual

Marine Special Operations Advisor Group

Attn: Medical Department

Camp Lejeune, NC

1740432178

Jason Adams

Individual

Msoag Aid Station

Bldg 1211

Camp Lejeune, NC

1255583225

MR. IDC Kevin Charles Heingarten

Individual

143 Spring Leaf Ln

Jacksonville, NC

1942492731

MR. IDC Seth Michael Matteson

Individual

Marine Forces Special Operations Command/ Msosg

Psc Box 20116

Camp Lejeune, NC

1780838524

SOIDC Anthony Shattuck

Individual

2d Marine Special Operations Battalion

Psc 20183

Camp Lejeune, NC

1831344936

NAVY IDC Jeremy K Torrisi

Individual

2d Marine Special Operations Bn

Psc Box 20183

Camp Lejeune, NC

1114162740

MR. Mario Esteban Betancourt

Individual

2d Battalion 2d Marines 2d Marine Division

Psc Box 20095

Camp Lejeune, NC

1871739045

IDC Michael Lee Thompson

Individual

4389 Beaufort Rd

Naval Health Clinic Cherry Point

Cherry Point, NC

1336389253

MR. IDC Andrew Thomas Hastings

Individual

Beaufort Road

Building 4389

Cherry Point, NC

1548474802

IDC George Ross Patterson III

Individual

121 Polo Rd

Winston Salem, NC

1528298478

MR. SOIDC David Harold Thacker I

Individual

2d Reconnaissance Battalion, Ii Mef

Psc Box 20138

Camp Lejeune, NC

1699905513

MR. Jeremy Paul Pionk

Individual

700 Talon Cir

Apt 1c

Jacksonville, NC

1518198035

MR. IDC Ward Evan Taft

Individual

2d Marine Special Operations Battalion

Psc20183

Camp Lejeune, NC

1871724310

MR. IDC Ronnie David Bayless JR.

Individual

2d Marine Special Operation Battalion

Psc Box 20183

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...

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