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

Copy url
Copy url

Independent Duty Corpsman Providers

NPI Name Type Address

1093828857

MR. IDC Andre Robert Carpentier

Individual

Uss Miami Ssn-755

Fpo, AE

1114162740

MR. Mario Esteban Betancourt

Individual

2d Battalion 2d Marines 2d Marine Division

Psc Box 20095

Camp Lejeune, NC

1609011253

MR. IDC Andre Ramon Kirkendoll

Individual

34101 Farenholt Ave Bldg 14

Surface Warfare Medical Institute San Diego, Ca 92134

San Diego, CA

1225273691

IDC Jason Paul Arceneaux

Individual

1355 Helicopter Rd

Norfolk, VA

1689642670

NAVY IDC Mark Edward Grafton

Individual

1 San Diego Loop Bldg 3282

Naval Air Facility Branch Health And Dental C

Andrews Afb, MD

1457597601

Patrick L Hyde

Individual

8901 Wisconsin Ave

Bldg 1 Room 1693

Bethesda, MD

1871739045

IDC Michael Lee Thompson

Individual

4389 Beaufort Rd

Naval Health Clinic Cherry Point

Cherry Point, NC

1649416835

IDC Duane E Postler

Individual

Bldg 3005 Sr 108

Bridgeport, CA

1720224769

MR. IDC Tabot Kwo

Individual

Seventh Communication Company Bas

Unit 35608

Fpo, AP

1558507442

IDC Donald Charles Orton

Individual

8857 1st St Bldg Cep 86 Suite 400

Pcd Commander Precomdet New York (lpd 21) C/o Ddg Class

Norfolk, VA

1902042898

William Robert Zorrer II

Individual

Nhcpb 555191

Commanding Officer

Camp Pendleton, CA

1396804621

IDC David Wayne Ballard

Individual

Naval Undersea Medical Institute

Submarine Base

Groton, CT

1699911370

MR. IDC Maurice L Mcbride

Individual

National Naval Medical Center Bethesda

Medical Services Directorate

Bethesda, MD

1346421914

MR. IDC Charles Edward Givens JR.

Individual

5501 Marvin Shields Blvd

Gulfport, MS

1922055169

IDC Amanda L Gentry

Individual

100 Alfred Loop

Apt 201

Chesapeake, VA

1467597476

INDEPENDENT DUTY HM Julio Cesar Ortiz

Individual

Naval Ambulatory Care Ctr

162 First St.

Port Hueneme, CA

1346487469

MR. IDC Ronald Cruz Eusebio

Individual

34800 Bob Wilson Dr

San Diego, CA

1073750972

David Bakos

Individual

Uss Texas (ssn 775)

Fpo, AE

1609013549

Nicolas David Mendoza

Individual

Uss Hawaii (ssn 776)

Fpo, AE

1972740595

IDC Daniel Shane Messer

Individual

Uss Springfield

Ssn 761

Fpo, AE

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