Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 13

Copy url
Copy url

Independent Duty Corpsman Providers

NPI Name Type Address

1356311518

IDC Michael F Ballard

Individual

5722 Integrity Dr

Bldg S771

Millington, TN

1316917586

MR. IDC Timothy James Francis

Individual

5722 Integrity Dr

Bldg S771

Millington, TN

1316915333

IDC Charles Barry Collier

Individual

Branch Medical Clinic, Nsa Mid South

5722 Integrity Dr Bldg

Millington, TN

1336195080

NAVY IDC Michael James Young

Individual

5720 Integrity Dr

Millington, TN

1487746236

MR. Robert Dennis Preston JR.

Individual

Brach Medical Clinic

Naval Support Activity Mid-south

Millington, TN

1063544211

MR. HS Jonathan Scott Allen

Individual

2 Auction Ave

Memphis, TN

1902000805

MR. IDC Perry Michael Miller

Individual

569 Skyline Dr

Jackson, TN

1821284894

MISS HM Tonya Victoria Jones

Individual

5720 Integrity Dr

Millington, TN

1730367020

Alexander Joseph Mabile III

Individual

5722 Integrity Dr

Navmac

Millington, TN

1295059491

William Lee Mark Stone

Individual

5722 Integrity Dr Bldg S-771

Millington, TN

1710292172

Larry L Lacefield

Individual

5528 Maple Landing Dr

Arlington, TN

1316049281

MR. Benjamin A B Heverly

Individual

5722 Integrity Dr

Millington, TN

1558947069

IDC Jesse Lane Jenkins

Individual

1734 Cold Springs Rd

Mountain City, TN

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