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

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Independent Duty Corpsman Providers

NPI Name Type Address

1295779346

MR. IDC Bruce L. Richardson JR.

Individual

937 Franklin Ave

Branch Health Clinic Lemoore

Lemoore, CA

1225073299

MR. IDC Jason Paul Davis

Individual

1035 Nider Blvd

Suite 100

Norfolk, VA

1376589077

NAVY IDC Craig Randolph Soleim

Individual

822 Clark St

Naval Submarine Support Command Medical

Pearl Harbor, HI

1386689560

IDC Richard E Bolton

Individual

2100 Thresher Ave

Uss Nevada

Silverdale, WA

1588690465

MR. IDC Michael Owen Congdon

Individual

1 Pinckney Blvd

Beaufort, SC

1649206335

MR. William Edward Downing III

Individual

1683 Gilbert St

Suite 100

Norfolk, VA

1568498764

IDC Brian Keith Humbles

Individual

620 John Paul Jones Cir

Portsmouth, VA

1093741993

IDC US NAVY Elisha Alexander

Individual

1959 Morris St

Suite 120 Bldg Z101

Norfolk, VA

1295762862

IDC Shane Ray Reece

Individual

4068 Redwing Trail Nw

Bremerton, WA

1336176338

MR. USN IDC Daniel William Ackerman

Individual

Bhc Dam Neck

1885 Terrier Ave, Ste 100

Virginia Beach, VA

1164459707

IDC Steven Allen Bradsher

Individual

3350 Narrows View Ln Ne

# 202

Bremerton, WA

1669409215

MR. IDC Mark Timothy Sizemore

Individual

Naval Branch Health Clinic

881 Uss James Madison Rd.

Kings Bay, GA

1962431973

Joel Brian Steward

Individual

Psc 836 Box 2670

Fpo, AE

1548298177

IDC Eric Thomas Shank

Individual

620 John Paul Jones Cir

Portsmouth, VA

1467480939

SUBMARINE IDC Rohn Dale Wallace

Individual

Uss Ohio Ssgn 726 Gold

Silverdale, WA

1205865755

MR. IDC Paul Frederick Hazard

Individual

1035 Nider Blvd

Suit 100

Norfolk, VA

1326077561

MR. Denfield Arnaldo Thomas

Individual

4108 Michigan Dr Apt A

Silverdale, WA

1093744427

IDC Brian Thomas Clark

Individual

3972 Shady Oaks Dr

Virginia Beach, VA

1922039247

MR. IDC Ronald Lee Hampton

Individual

7111 Sealion Rd

Silverdale, WA

1992736359

IDC Keith Alan Becker

Individual

Branch Medical Clinic

Naval Weapons Station

Yorktown, VA

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