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

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Independent Duty Corpsman Providers

NPI Name Type Address

1619939147

MR. SUB IDC David C Young

Individual

1035 Nider Boulevard Naval Amphibious Base Little Creek

Suite 100

Norfolk, VA

1003877648

MR. INDEPENDENT DUTY COR Timothy William Newman I

Individual

10353 San Diego Mission Rd

Apt C219

San Diego, CA

1417919986

MR. IDC Lawrence Milton Preston JR.

Individual

3408 Bob Wilson Dr

San Diego, CA

1356303655

IDC Julio Esquilin

Individual

580 Uss Mariano G. Vallejo Avenue

Kings Bay, GA

1699737924

MR. IDC Joe H Espinosa III

Individual

3975 Norman Scott Rd

Suite 1

San Diego, CA

1932161197

IDC Reynaldo Aldover Guadez

Individual

Branch Medical Clinic Mcrd

35000 Guadalcanal Street

San Diego, CA

1376505321

MR. IDC Roger Dale Mcgee

Individual

2120 Chesterfield Loop

Chesapeake, VA

1306809967

MR. Douglas Neil Holleman SR.

Individual

Mhc Crew Inflict

Naval Station Ingleside

Ingleside, TX

1033172598

MR. IDC Michael Dwayne Brizzee

Individual

119 San Saba Dr

Portland, TX

1982667804

IDC Robert Lee King

Individual

Naval Branch Health Clinic

2104 Massey Avenue,

Mayport, FL

1821051020

IDC Marty Lynn Golightly

Individual

35000 Guadalcanal Ave

San Diego, CA

1922061142

IDC Robert Todd Powell

Individual

14090 Crestwick Dr E

Jacksonville, FL

1689637449

MRS. IDC Jennifer Lynn Segarra

Individual

Uss Normandy (cg 60)

Fpo Ap, VA

1285698969

MR. IDC Manuel Contreras JR.

Individual

Uss Russell Ddg59

Pearl Harbor, HI

1740245091

John Thomas Renn

Individual

250 Makalapa Dr

Pearl Harbor, HI

1679538268

MR. INDEPENDENT DUTY COR Christopher Daniel Garcia

Individual

Clr 17 Ras

Camp Pendleton, CA

1558326058

IDC Jason L Mitchell

Individual

259 Yorkshire Ln

Bellefonte, PA

1811951643

MR. IDC Paul Mclain Ziemer

Individual

Naval Ambulatory Care Clinic Point Mugu

1 Dispensary Rd, Bldg 5

Point Mugu Nawc, CA

1356305130

MR. IDC William Alex Clauson SR.

Individual

Uss Ross Ddg 71

Fpo Ae 09586

Norfolk, VA

1417914631

IDC Jeffrey William Ard

Individual

10651 E St

Corpus Christi, TX

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