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

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Independent Duty Corpsman Providers

NPI Name Type Address

1245411487

IDC Robert Frank Bott

Individual

Surface Warfare Medicine Institute

34101 Farenholt Ave

Fpo, AP

1396988184

IDC Michael Joseph Sam

Individual

Swrmc 3601 Womble St

San Diego, CA

1902049463

IDC Timothy Michael Bickerton

Individual

Uss George Washington Cvn 73

Fpo, AP

1306089719

IDMT Troy N Urda

Individual

Psc 57 Box 123

704 Munss/idmt

Apo, AE

1851446827

MR. Samuel Priagola

Individual

8901 Rockville Pike

Bethesda, MD

1730323643

IDC Jacqueline Bridget Pioch

Individual

Nmcb Seven

Bldg 309, Unit 60418

Fpo, AA

1205048501

IDC Jean Marc Dube

Individual

Special Boat Team Twenty Two

2603 Lower Gainesville Road

Stennis Space Center, MS

1063476257

IDC Michael James Holmes

Individual

Naval Hospital Jacksonville

Attention Emergency Department

Jacksonville, FL

1578797643

MR. IDC Venson Matthew Graves

Individual

Uss Theodore Roosevelt # 71

Cvn-71

Fpo, AE

1629162086

IDC Christopher T Grimm

Individual

Uss Mcfaul (ddg 74)

Medical Department

Fpo, AE

1992939458

IDC Jeremy Edward Pruitt

Individual

Uss Warrior Mcm 10

Crew Constant - Eh01

Fpo, AA

1578797866

MR. IDC Mark William Goldschmidt

Individual

Building 9, Schofield Barracks

Schofield Barracks, HI

1528027653

MR. INDEPENDANT DUTY COR Sean Courtney Madsen

Individual

Nmcb 3

Unit 25269

Fpo, AP

1902031065

MR. IDC Joseph M. Haner JR.

Individual

Nmcb 3 B1436

Unit 25269

Fpo, AP

1124253208

MR. INDEPENDENT DUTY COR Rodolfo Guerrero

Individual

2051 Cushing Rd

San Diego, CA

1811122393

IDC Jason L Brock

Individual

2534 Trident Way

San Diego, CA

1316172752

IDC Jeremy L. West

Individual

2534 Trident Way

San Diego, CA

1104052422

MR. SUBMARINE IDC Chad Nathan Roberts

Individual

Uss Buffalo (ssn 715)

Medical Department

Fpo, AP

1013143221

MR. MILITARY HEALTH/IDC James J Barakat

Individual

1875 Intercove Rd Bldg 3813

Norfolk, VA

1225072366

Michael Lee Miller

Individual

Uss Alaska (ssbn 732)

Fpo, AP

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