Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 67

Copy url
Copy url

Independent Duty Corpsman Providers

NPI Name Type Address

1487621942

IDC Tim Andrew Coffey

Individual

Medical Department Uss Abraham Lincoln

Fpo-ap

Everett, WA

1316915309

MR. IDC Shane A. Walter

Individual

Bhc Bangor, 2050 Barb St

Suite A, Naval Submarine Base Bangor

Silverdale, WA

1447227400

IDC Stephen Keith Hubbard

Individual

1 Boone Rd

Naval Hospital Bremerton

Bremerton, WA

1669429213

MR. Alan D Garrigus

Individual

Branch Health Clinic Psns

1400 Farragu Ave

Bremerton, WA

1366499253

MR. IDC Georges Custodio Taino

Individual

1400 Farragut Ave

Bremerton, WA

1699716258

MR. Guillermo Venegas

Individual

1 Boone Rd

Bremerton, WA

1679514392

Bernard H Agnew

Individual

2100 Thresher Ave

Uss Maine Ssbn 741 Blue

Silverdale, WA

1396789244

MR. IDC Steven Reyes Wood

Individual

2100 Thresher Ave

Uss Nebraska Ssbn 739 Blue

Silverdale, WA

1386689560

IDC Richard E Bolton

Individual

2100 Thresher Ave

Uss Nevada

Silverdale, WA

1295762862

IDC Shane Ray Reece

Individual

4068 Redwing Trail Nw

Bremerton, WA

1164459707

IDC Steven Allen Bradsher

Individual

3350 Narrows View Ln Ne

# 202

Bremerton, WA

1467480939

SUBMARINE IDC Rohn Dale Wallace

Individual

Uss Ohio Ssgn 726 Gold

Silverdale, WA

1326077561

MR. Denfield Arnaldo Thomas

Individual

4108 Michigan Dr Apt A

Silverdale, WA

1922039247

MR. IDC Ronald Lee Hampton

Individual

7111 Sealion Rd

Silverdale, WA

1538191283

MR. IDC Matthew H Mcclernan

Individual

Uss Kentucky Ssbn 737 Gold

2100 Thresher Ave

Silverdale, WA

1013941129

MR. IDC Stuart Emerson Baird

Individual

Uss Pennsylvania (ssbn 735) (gold)

Fpo Ae, WA

1154491132

IDC Gary Matthew Virdell

Individual

Naval Health Clinic, Naval Station Everett

Bldg 2110

Everett, WA

1013123405

IDC James Jon Ruane

Individual

6935 Liverpool Ct Ne

Bremerton, WA

1871705673

SUBMARINE IDC Christopher Lee Drennon

Individual

Mcsfco Bangor

Silverdlae, WA

1235340738

USN IDC Edward Cliff Littler

Individual

Uss Henry M Jackson (ssbn 730)(blue)

Fpo Ap

Bangor, WA

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