| NPI | Name | Type | Address |
|---|---|---|---|
|
IDC Robert Frank Bott |
Individual |
Surface Warfare Medicine Institute 34101 Farenholt Ave Fpo, AP |
|
|
IDC Michael Joseph Sam |
Individual |
Swrmc 3601 Womble St San Diego, CA |
|
|
IDC Timothy Michael Bickerton |
Individual |
Uss George Washington Cvn 73 Fpo, AP |
|
|
IDMT Troy N Urda |
Individual |
Psc 57 Box 123 704 Munss/idmt Apo, AE |
|
|
MR. Samuel Priagola |
Individual |
8901 Rockville Pike Bethesda, MD |
|
|
IDC Jacqueline Bridget Pioch |
Individual |
Nmcb Seven Bldg 309, Unit 60418 Fpo, AA |
|
|
IDC Jean Marc Dube |
Individual |
Special Boat Team Twenty Two 2603 Lower Gainesville Road Stennis Space Center, MS |
|
|
IDC Michael James Holmes |
Individual |
Naval Hospital Jacksonville Attention Emergency Department Jacksonville, FL |
|
|
MR. IDC Venson Matthew Graves |
Individual |
Uss Theodore Roosevelt # 71 Cvn-71 Fpo, AE |
|
|
IDC Christopher T Grimm |
Individual |
Uss Mcfaul (ddg 74) Medical Department Fpo, AE |
|
|
IDC Jeremy Edward Pruitt |
Individual |
Uss Warrior Mcm 10 Crew Constant - Eh01 Fpo, AA |
|
|
MR. IDC Mark William Goldschmidt |
Individual |
Building 9, Schofield Barracks Schofield Barracks, HI |
|
|
MR. INDEPENDANT DUTY COR Sean Courtney Madsen |
Individual |
Nmcb 3 Unit 25269 Fpo, AP |
|
|
MR. IDC Joseph M. Haner JR. |
Individual |
Nmcb 3 B1436 Unit 25269 Fpo, AP |
|
|
MR. INDEPENDENT DUTY COR Rodolfo Guerrero |
Individual |
2051 Cushing Rd San Diego, CA |
|
|
IDC Jason L Brock |
Individual |
2534 Trident Way San Diego, CA |
|
|
IDC Jeremy L. West |
Individual |
2534 Trident Way San Diego, CA |
|
|
MR. SUBMARINE IDC Chad Nathan Roberts |
Individual |
Uss Buffalo (ssn 715) Medical Department Fpo, AP |
|
|
MR. MILITARY HEALTH/IDC James J Barakat |
Individual |
1875 Intercove Rd Bldg 3813 Norfolk, VA |
|
|
Michael Lee Miller |
Individual |
Uss Alaska (ssbn 732) Fpo, AP |
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 |