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

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Independent Duty Corpsman Providers

NPI Name Type Address

1306048269

Paul Preston

Individual

2d Recon Bn 2d Mardiv

Clnc, NC

1992909204

Kelly Marie Kendrick

Individual

Bldg 2161032 Marine Corps Base

Camp Pendleton, CA

1922209204

IDC Steven Lee Bledsoe

Individual

Clr-17 Ras, 1st Mlg

Bldg 14030

Camp Pendleton, CA

1710188875

SFIDC John C Garn

Individual

Naval Hospital Camp Pendleton

Box 555191

Camp Pendleton, CA

1457554651

MR. IDC Edward Hourican

Individual

3325 Senn Rd

San Diego, CA

1215130414

MR. IDC James Thomas Brawley

Individual

321 Bullfinch Rd

Panama City, FL

1588865364

SUBMARINE IDC Robert John Ripps

Individual

2050 Barb St

Silverdale, WA

1902000805

MR. IDC Perry Michael Miller

Individual

569 Skyline Dr

Jackson, TN

1801091285

MR. NAVY IDC Richard Justin Engle

Individual

2nd Battalion 9th Marines Bldg. 514

2nd Marine Division

Camp Lejeune, NC

1659575512

MR. IDC Jeffrey C George

Individual

Psc 814 Box 19

Fpo, AP

1871797514

IDC Keith Martin Rawls

Individual

3540 Westover Rd Apt A

Fort Sheridan, IL

1326242215

MR. IDC Thomas Michael Kaptur

Individual

Naval Costal Warfare Squadron Four

Norfolk Naval Shipyard Bldg 11

Portsmouth, VA

1700083789

MR. IDC Richard Michael Armour

Individual

Psc Box 20101

Camp Lejeune, NC

1306044268

MR. I.D.C. Armando Garza

Individual

2000 W Marine View Dr

Everett, WA

1841498227

MS. IDC Kathleen L Pierce

Individual

937 Franklin Blvd

Lemoore, CA

1538367123

IDC Michael D Haggerty JR.

Individual

1049 Bayou Pl

Diamondhead, MS

1669677951

MRS. IDC Teresa Meisenhalder

Individual

1st Medical Battalion 22 Gas

Bldg 22190

Camp Pendleton, CA

1861697013

IDC Renato L Tolosa

Individual

1285 Lavender Ln

Hemet, CA

1780889584

MR. IDC Kirk William Stpierre

Individual

22 Area Group Aid Station

Camp Pendleton, CA

1942407952

IDC Andrew Donald Elliott

Individual

106 Thorntree Ct

Jacksonville, NC

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