Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 7

Copy url

Select City

Copy url

Independent Duty Corpsman Providers

NPI Name Type Address

1427026947

MR. IDC Troy Glenn Grizzle

Individual

7791 Mercury Rd

Tinker Afb, OK

1912974007

MRS. Jennifer Caldwell

Individual

7641 Mercury Rd

Tinker Afb, OK

1982848040

MR. SFIDC Matthew L. Breske

Individual

7791 Mercury Rd

Faireconron Four

Oklahoma City, OK

1154764850

IDC Tonya Rae Jury

Individual

3001 S Douglas Blvd

Oklahoma City, OK

1710254552

MR. SURFACE FORCE IDC Seth Anthony Terrana

Individual

7050 Air Depot Blvd

Tinker Afb, OK

1831584762

IDC Emmanuel Busingye-nkwizire

Individual

7050 Air Depot Blvd

Tinker Afb, OK

1154765022

MS. IDC Elizabeth Yun Bowman

Individual

7050 Air Depot Blvd

Tinker Afb, OK

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