Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 59

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Independent Duty Corpsman Providers

NPI Name Type Address

1720056609

MR. OTHER Rudy Wilbert Arocha

Individual

Branch Health Clinic

327 Coral Sea Dr. Suite 165

Ingleside, TX

1689642506

MR. SFIDC Kenneth Wayne Graves

Individual

Naval Hospital Corpus Christi

10651 E Street

Corpus Christi, TX

1619944642

MR. IDC Damian J Lovello

Individual

1632 Ticonderoga St

Uss Heron Mhc 52

Ingleside, TX

1306809967

MR. Douglas Neil Holleman SR.

Individual

Mhc Crew Inflict

Naval Station Ingleside

Ingleside, TX

1033172598

MR. IDC Michael Dwayne Brizzee

Individual

119 San Saba Dr

Portland, TX

1417914631

IDC Jeffrey William Ard

Individual

10651 E St

Corpus Christi, TX

1275590184

MR. James E Day

Individual

10651 E St

Corpus Christi, TX

1669427290

IDC Richard Brian Butorac

Individual

1711 Doolittle Ave

Fort Worth, TX

1629108881

MR. IDC Gabriel S Tellez

Individual

1455 Ticonderoga

Mcm Crew Fearless, Comcmron 2, Naval Station

Ingleside, TX

1962618363

IDC Edmundo Del Castillo

Individual

2250 Stanley Rd Ste 36

Fort Sam Houston, TX

1700090685

MR. IDC Ronald Derald Fryar JR.

Individual

1451 Lexington Drive

Ingleside, TX

1194931311

IDC Jesus Jimenez

Individual

1017a Huey Dr

Corpus Christi, TX

1124235445

IDC John David Brabner

Individual

1711 Doolittle Ave

Fort Worth, TX

1245420017

Phillip Anthony Rodriguez

Individual

Naval Branch Health Clinic Ingleside

327 Coral Sea Drive, Suite 165

Ingleside, TX

1891985529

MR. Roy Michael Elias

Individual

327 Coral Sea Rd Suite 123

Ingleside, TX

1568439933

MR. IDC Lee E Pradia JR.

Individual

10651 E St

Naval Hospital

Corpus Christi, TX

1588691372

IDC Daniel Charles Hansen

Individual

730 Forrestal St

Kingsville, TX

1871787614

IDC Raymond Louis Johnson

Individual

327 Coral Sea Rd

Suite 165

Ingleside, TX

1356318315

MR. James Kevin Campbell

Individual

1711 Doolittle Ave

Fort Worth, TX

1790970184

Aaron Patrick Sikes

Individual

327 Coral Sea Rd

Ingleside, TX

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