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

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Independent Duty Corpsman Providers

NPI Name Type Address

1427255512

MR. IDC Matthew Vincent Mcclure

Individual

Bldg 111 C St

Camp Lejeune, NC

1114122645

MR. IDC Sam Yong Kim

Individual

Box 555697

Camp Pendleton, CA

1508061292

MR. IDC Jeremy S Covell

Individual

3rd Med Bn 3rd Fssg

Bravo Co Unit 38448

Fpo, AP

1922203611

MR. SFIDC Lorenzo F Basilio III

Individual

3d Medical Bn

Bravo Company

Camp Hansen, OKINAWA

1114123791

IDC Luis F Cordova

Individual

1st Medical Battalion 1st Marine Logistic Group

Camp Pendleton

Fpo, US

1487850137

MR. IDC Brian Albert Nielson

Individual

1662 Northlake Way Nw

Bremerton, WA

1699972836

MR. SFIDC Sean Lee Brown

Individual

304 N Mccarthy Ave Ste 117

Nacscoleod

Eglin Afb, FL

1003883547

MR. IDC, BSHS,MSHS,USN David Patrick Norris

Individual

881 Uss James Madison Rd

Naval Branch Health Clinic

Cpu Kings Bay, GA

1508828161

MR. IDC Thomas E Gilham II

Individual

5503 Marvin Shields Blvd

Gulfport, MS

1497953509

MR. IDC Daniel Rodgers

Individual

2nd Bn 9th Mar, 2nd Marine Division

Psc 20002

Camp Lejeune, NC

1184823932

MR. IDC Christopher F.m. Pease

Individual

881 Uss James Madison Rd

Kings Bay, GA

1770782435

IDC James E Burton

Individual

2nd Aa Bn

Jacksonville, NC

1316146731

MR. IDC Leslie Roy Bolton

Individual

1636 Regulus Ave

Virginia Beach, VA

1144429507

MR. NAVY IDC Tony Wayne Lyle

Individual

1061 Uss Tennessee Ave

Kings Bay, GA

1770782013

MR. IDC Robert Edwin Brown

Individual

Nswu 3

Pcs 451 Box 460

Fpo, AE

1346449691

NAVY IDC David Edward Rowley

Individual

Uss Carr

Norfolk, USA

1316147457

MR. IDC Michael Waters

Individual

14900 Park Central Road

Naval Support Facility

Thurmont, MD

1861692857

MR. IDC Bryan Edward Bouchard

Individual

2nd Tank Battalion

Camp Lejeune, NC

1033319827

PROF. IDC David Aaron Galvan

Individual

3001 6th St Ste A

Great Lakes, IL

1396945853

MR. IDC Thomas Jay Walker

Individual

Special Boat Team 22

2603 Lower Gainsville Rd

Stennis Space Center, MS

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