| NPI | Name | Type | Address |
|---|---|---|---|
|
MR. IDC Bruce L. Richardson JR. |
Individual |
937 Franklin Ave Branch Health Clinic Lemoore Lemoore, CA |
|
|
MR. IDC Jason Paul Davis |
Individual |
1035 Nider Blvd Suite 100 Norfolk, VA |
|
|
NAVY IDC Craig Randolph Soleim |
Individual |
822 Clark St Naval Submarine Support Command Medical Pearl Harbor, HI |
|
|
IDC Richard E Bolton |
Individual |
2100 Thresher Ave Uss Nevada Silverdale, WA |
|
|
MR. IDC Michael Owen Congdon |
Individual |
1 Pinckney Blvd Beaufort, SC |
|
|
MR. William Edward Downing III |
Individual |
1683 Gilbert St Suite 100 Norfolk, VA |
|
|
IDC Brian Keith Humbles |
Individual |
620 John Paul Jones Cir Portsmouth, VA |
|
|
IDC US NAVY Elisha Alexander |
Individual |
1959 Morris St Suite 120 Bldg Z101 Norfolk, VA |
|
|
IDC Shane Ray Reece |
Individual |
4068 Redwing Trail Nw Bremerton, WA |
|
|
MR. USN IDC Daniel William Ackerman |
Individual |
Bhc Dam Neck 1885 Terrier Ave, Ste 100 Virginia Beach, VA |
|
|
IDC Steven Allen Bradsher |
Individual |
3350 Narrows View Ln Ne # 202 Bremerton, WA |
|
|
MR. IDC Mark Timothy Sizemore |
Individual |
Naval Branch Health Clinic 881 Uss James Madison Rd. Kings Bay, GA |
|
|
Joel Brian Steward |
Individual |
Psc 836 Box 2670 Fpo, AE |
|
|
IDC Eric Thomas Shank |
Individual |
620 John Paul Jones Cir Portsmouth, VA |
|
|
SUBMARINE IDC Rohn Dale Wallace |
Individual |
Uss Ohio Ssgn 726 Gold Silverdale, WA |
|
|
MR. IDC Paul Frederick Hazard |
Individual |
1035 Nider Blvd Suit 100 Norfolk, VA |
|
|
MR. Denfield Arnaldo Thomas |
Individual |
4108 Michigan Dr Apt A Silverdale, WA |
|
|
IDC Brian Thomas Clark |
Individual |
3972 Shady Oaks Dr Virginia Beach, VA |
|
|
MR. IDC Ronald Lee Hampton |
Individual |
7111 Sealion Rd Silverdale, WA |
|
|
IDC Keith Alan Becker |
Individual |
Branch Medical Clinic Naval Weapons Station Yorktown, VA |
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...
| 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 |