Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 297

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Independent Duty Corpsman Providers

NPI Name Type Address

1053629964

MR. SFIDC Shawnly Heath Ward

Individual

Surface Warfare Medical Institute - East

459 Bellinger Blvd

Norfolk, VA

1578056743

IDC Elis Bojaxhi

Individual

3044 Ashlawn Ter

Virginia Beach, VA

1871094961

Joseph Clinton Francom

Individual

1875 Cove Rd

Virginia Beach, VA

1639655376

MR. IDC Brian D Blincoe

Individual

7207 Masonville Drive

Annandale, VA

1801370382

MILITARY/SOIDC Mathieu Cote

Individual

472 Polaris St Bldg 586

Virginia Beach, VA

1215591888

MR. IDC Nash Richard Galvan

Individual

456-462 Pocahontas St

Norfolk, VA

1447814090

Francis Anthony Edquid

Individual

9560 Farragut Ave

Norfolk, VA

1851945315

MR. IDC, HC, USN Ricardo Perez

Individual

Us Navy

Norfolk, VA

1154790228

Alexander John Mills

Individual

2189 Elrod Ave

Quantico, VA

1376946897

IDC Lydia Kay Andaya

Individual

2220 Schofield Rd

Virginia Beach, VA

1912545534

US NAVY IDC Ashton Neal Burnett

Individual

1875 Cove Rd Bldg 3806

Virginia Beach, VA

1376176594

DIVE IDC Georgiy O Bondarchuk

Individual

1465 Hewitt Dr

Virginia Beach, VA

1598394777

MR. IDC Stephen Dizon Del Rosario

Individual

Uss Mason (ddg 87)

456-462 Pocahontas Street

Norfolk, VA

1215558192

IDC Brian Hunsicker

Individual

1004 Hermitage Rd

Virginia Beach, VA

1922371327

MR. IDC Stephen Torres

Individual

1900 Gator Blvd Bldg 3808

Virginia Beach, VA

1275157745

SOIDC Jonathon Daniel Ratkus

Individual

1636 Regulus Ave

Virginia Beach, VA

1306455522

SOIDC Kevin Bradley

Individual

903 13th St

Virginia Beach, VA

1851900088

Seth Walter

Individual

1825 Olympic Dr

Virginia Beach, VA

1750431284

MR. IDC Reymundo Borjon JR.

Individual

2200 Gator Blvd

Virginia Beach, VA

1790387348

MR. SUBMARINE IDC Antonio Christopher Boyd JR.

Individual

9168 2nd St Ste 200

Norfolk, VA

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