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

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Independent Duty Corpsman Providers

NPI Name Type Address

1447555230

Gilbert Garcia

Individual

1 Boone Rd

Naval Hospital Bremerton

Bremerton, WA

1639353501

MR. Julius Clayton Mclinko

Individual

2102 Drum St

Silverdale, WA

1982934303

MR. Gordon John Bergman

Individual

2821 Montwood Ln

Bremerton, WA

1689933210

MR. NAVY DIVE IDC Nicolas Shane Gomez

Individual

2000 W Marine View Dr

Bldg 2202 Psns/imf Dive Locker - Medical

Everett, WA

1871734129

Allen L Truhn

Individual

1 Boone Rd

Attn: Family Practice Clinic

Bremerton, WA

1598027237

Epafara Jeffrey Vaitautolu

Individual

30 Wencker Way Apt A

Bremerton, WA

1326171570

MR. IDC Andre Maurice Cardenas

Individual

2000 W Marine View Dr

Bldg 2010

Everett, WA

1003944836

IDC Dana Shay Therkildsen

Individual

1 Boone Rd

Bremerton, WA

1023414927

IDC Larry Jones

Individual

386 Nw Dory Dr

Oak Harbor, WA

1679965222

DR. MD Asher Abbott White JR.

Individual

8806 86th Ave Nw

Gig Harbor, WA

1043490964

IDC Michael Alan Gwinn

Individual

2050 Barb St Ste A

Silverdale, WA

1427356377

Kristian Hontiveros Valencia

Individual

3475 N Saratoga St

Bldg 993

Oak Harbor, WA

1285699181

MR. IDC Anthony Lee Epps

Individual

1 Boone Rd

Bremerton, WA

1235599234

Corey Thacker

Individual

1912 Nw Circle Dr N

Poulsbo, WA

1558718395

MR. Corbin Eugene Lefebvre

Individual

7111 Sealion Rd

Silverdale, WA

1770976094

MRS. IDC Janne Lynne Wellborn

Individual

1 Boone Rd

Bremerton, WA

1326521097

HM IDC Elizabeth Nicole Sifuentes

Individual

Uss Michigan- Commander Sub Group Nine

2150 Thresher Ave

Silverdale, WA

1164992491

Michael Thomas Stevens

Individual

100 Hospital Loop

Fairchild Afb, WA

1649830779

MRS. IDC Monica Yineman

Individual

9812 Enchantment Ave Nw

Silverdale, WA

1669033098

MRS. Crystal Belle Phipps Bloomfeldt

Individual

214 Autumn Hills Rd

Kelso, 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...

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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