Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 3,002

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Independent Duty Corpsman Providers

NPI Name Type Address

1427218726

IDC Percival Valenzuela

Individual

1865 Cove Rd

Bldg 3806

Norfolk, VA

1497915797

IDC Chanda English

Individual

100 Brewster Blvd

Camp Lejeune, NC

1992965875

IDC David Scott Bockelman

Individual

1683 Gilbert St Ste 100

Norfolk, VA

1902066731

MR. SF-IDC Scott Lafountaine

Individual

1840 Cove Road

Naval Special Warfare Group Two Medical Department

Norfolk, VA

1346400173

IDC Deloy Antonio Shaw

Individual

Mwss 274 2d Maw

Unit 78107

Fpo, AE

1073773800

MR. IDC Ehren Lietz

Individual

35000 Guadalcanal Ave

San Diego, CA

1194985861

IDC Brian James Jackson

Individual

35000 Guadalcanal Ave

San Diego, CA

1386804086

MR. IDC Francis M Thomas

Individual

620 John Paul Jones Cir

Portsmouth, VA

1700048303

MR. Eric Nmn Smith

Individual

620 John Paul Jones Cir

Portsmouth, VA

1053573667

MR. Wayne M Shurtz

Individual

1721 Taussig Blvd

Norfolk, VA

1285896589

MR. IDC Gerald Oliver Brant JR.

Individual

305 Wellington Pl

Jacksonville, NC

1750543898

Larry Jason Flint

Individual

1550 Tomcat Blvd Ste 150

Virginia Beach, VA

1841452703

MR. HMC SS FMF IDC Brandon Lyle Lindbeck

Individual

Naval Unsersea Medical Institute 159 Trout Ave

Navsubase Nlon

Groton, CT

1154583052

MR. IDC Andrea V Zoto

Individual

Uss Mesa Verde

Lpd 19

Fpo, AE

1992968739

IDC Will Brogdon

Individual

Uss Nicholas

Ffg47

Fpo, AE

1639106586

MR. Agustin Delarosa

Individual

620 John Paul Jones Cir

Portsmouth, VA

1497918635

IDC David Paul Horvath

Individual

3399 Strauss Ave Ste 219

Indian Head, MD

1902069990

IDC Huben Lindale Phillips

Individual

2803 Meadow Wood Ct W

Chesapeake, VA

1821251745

MR. IDC Daniel Joseph Bornstein

Individual

H1 Julian C Smith

Camp Lejeune, FL

1134331473

MR. IDC Salvador Hernandez JR.

Individual

Atg Wp Psc 473 Bx 16

Eng Dept.

Yokosuka, KANAGAWA

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