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

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Independent Duty Corpsman Providers

NPI Name Type Address

1891027975

MR. INDEPENDENT DUTY COP Christopher James Santee

Individual

8901 Wisconsin Ave

Bethesda, MD

1336471374

SOIDC William Lee Fairall

Individual

8161 Red Cockaded Ct Apt 103

Wilmington, NC

1467784314

IDC Bernard Spraggins

Individual

140 Sylvester Rd

Building 5

San Diego, CA

1932431632

MR. IDC Willie Eugene Robinson JR.

Individual

Uss Oak Hill

Lsd 51

Fpo, AE

1396077020

IDC Christopher John Robinson

Individual

4006 Waverly Rd

Corinth, TX

1770805954

IDC James Ryan Pitts

Individual

2005 Knight Lane

Bldg. H Navy Medicine Support Command

Jacksonville, FL

1235199399

MR. IDC Joseph Alan Burmeister

Individual

Naval Hospital Great Lakes

Great Lakes, IL

1255653358

IDC Dennis Wayne Dowrey

Individual

7111 Sealion Rd

Silverdale, WA

1740502590

MR. Tony Ward

Individual

Uss Truxtun Ddg-103

Fpo, AE

1962724724

MR. IDC John D Dempsey

Individual

1636 Regulus Ave

Virginia Beach, VA

1457673022

MR. IDC Michael Cameron Lewis

Individual

7528 Foxwerth Dr

Wilmington, NC

1962724542

I.D.C. Charles William Close

Individual

Uss Alabama (ssbn-731)(blue)

Fpo, AP

1023330453

IDC Randall Bruce Durgin

Individual

3325 Senn Rd

Bldg 55 Medical Dept

San Diego, CA

1790008019

IDC Roger Dale Phibbs JR.

Individual

Uss Mason (ddg 87)

Medical Department

Fpo, AE

1306169560

SMDR/IDC James Elliot Wigfall

Individual

Uss Laboon

Ddg 58

Fpo, AE

1912100488

MR. IDC US NAVY David James Walker

Individual

2135 Wellings Ct

Virginia Beach, VA

1760579577

IDC Darrell Timpa

Individual

Swmi

34101 Farenholt Ave

San Diego, CA

1932422029

Kenneth Gene Chapman

Individual

Uss Anzio

Cg-68

Fpo, AE

1780907618

SOIDC John Martinez

Individual

Psc 559 Box 6007

Fpo/ap, OKINAWA

1922214378

MR. IDC Zachary Dukane Pryor

Individual

1745 10th Street

Beach Master Unit Two

Virginia Beach, 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