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

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Independent Duty Corpsman Providers

NPI Name Type Address

1649484940

MR. IDC Daniel Paul Stevens

Individual

1004 Hermitage Road

Norfolk, VA

1124232434

IDC William David Triplett

Individual

480 Central Ave

Pearl Harbor, HI

1407062052

William Franklin Crittenden

Individual

3506 W 26th Pl

Yuma, AZ

1598971749

MR. IDC Dustin Adams

Individual

Naval Hospital Camp Pendleton

52 Area Branch Medical Clinic

Camp Pendleton, CA

1659587871

MR. IDC Tavis Scott Buckingham

Individual

Uss New Orleans (lpd 18) Fpo Ap 96673-1701

Commanding Officer

San Diego, CA

1194931311

IDC Jesus Jimenez

Individual

1017a Huey Dr

Corpus Christi, TX

1144436924

IDC Jennifer Marie Faasen

Individual

620 John Paul Jones Cir

Portsmouth, VA

1316153232

NAVY SFIDC Jeffrey Lane Jones

Individual

3226 Tarawa Rd

San Diego, CA

1336355239

IDC Russell Lee Short

Individual

7513 Brittany Lakes Dr

Wilmington, NC

1205045481

MR. IDC Kelly Michael Miller

Individual

Commanding Officer Medical Company

Cssg-3 Box 63067 Mcbh

Kaneohe Bay, HI

1952517948

MR. IDC Jaycee Morales Enriquez

Individual

Naval Submarine Support Center

9168 Second Street Suite 202

Norfolk, VA

1528274438

IDC Francisco Javier Hernandez Iglesias

Individual

2080 Child St

Jacksonville, FL

1205043726

MR. Michael James Haughey

Individual

822 Clark St

Suite 400

Pearl Harbor, HI

1043427396

IDC Michael Chad Gandy

Individual

Anti-terrorism Battalion, 2nd Marine Division

Unit 20165

Camp Lejeune, NC

1629285812

Walter Joseph Mcdevitt JR.

Individual

8th Regimental Aid Station

2nd Marine Division

Camp Lejeune, NC

1144436874

David W Plance

Individual

Uss Lake Champlain (cg 57)

Fpo, UNITED STATES

1386851574

NAVY IDC George Conrad Fastenau

Individual

2nd Ceb Bas 2d Mardiv Ii Mef

Camp Lejeune, NC

1013127497

IDC Cory Dean Sant

Individual

Uss Rhode Island Ssbn 740 (blue)

1059 Uss Georgia Ave

Kings Bay, GA

1124235445

IDC John David Brabner

Individual

1711 Doolittle Ave

Fort Worth, TX

1427266931

MR. IDC Brian Michael Strahl

Individual

5 Nmcb 5 Street

Port Hueneme, CA

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