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

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Independent Duty Corpsman Providers

NPI Name Type Address

1689637449

MRS. IDC Jennifer Lynn Segarra

Individual

Uss Normandy (cg 60)

Fpo Ap, VA

1356305130

MR. IDC William Alex Clauson SR.

Individual

Uss Ross Ddg 71

Fpo Ae 09586

Norfolk, VA

1366481665

Brad Andrew Lipert

Individual

620 John Paul Jones Cir

Portsmouth, VA

1043254048

Teresa R Mckinney

Individual

620 John Paul Jones Cir

Portsmouth, VA

1225073299

MR. IDC Jason Paul Davis

Individual

1035 Nider Blvd

Suite 100

Norfolk, VA

1649206335

MR. William Edward Downing III

Individual

1683 Gilbert St

Suite 100

Norfolk, VA

1568498764

IDC Brian Keith Humbles

Individual

620 John Paul Jones Cir

Portsmouth, VA

1093741993

IDC US NAVY Elisha Alexander

Individual

1959 Morris St

Suite 120 Bldg Z101

Norfolk, VA

1336176338

MR. USN IDC Daniel William Ackerman

Individual

Bhc Dam Neck

1885 Terrier Ave, Ste 100

Virginia Beach, VA

1548298177

IDC Eric Thomas Shank

Individual

620 John Paul Jones Cir

Portsmouth, VA

1205865755

MR. IDC Paul Frederick Hazard

Individual

1035 Nider Blvd

Suit 100

Norfolk, VA

1093744427

IDC Brian Thomas Clark

Individual

3972 Shady Oaks Dr

Virginia Beach, VA

1992736359

IDC Keith Alan Becker

Individual

Branch Medical Clinic

Naval Weapons Station

Yorktown, VA

1659304244

MR. Scott Lee Radke

Individual

620 John Paul Jones Cir

Portsmouth, VA

1578573390

MR. IDC Ricardo Miguel Tubbs

Individual

1001 Holcomb Rd

Portsmouth, VA

1679677389

IDC James Adelbert Meeker

Individual

620 John Paul Jones Cir

Portsmouth, VA

1245330505

IDC Carrie Marie Rook

Individual

1915 C Ave

Cep-171 Room 204

Norfolk, VA

1992891246

HS Chris Gustave Evans

Individual

300 Main St

Norfolk, VA

1659451748

MRS. HS Kimberly Helen Mcqueen

Individual

3000 Kempton Park Rd

Suffolk, VA

1154401693

MR. IDC Shawn Alan Kirkpatrick

Individual

2155 11th St

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