| NPI | Name | Type | Address |
|---|---|---|---|
|
MR. SUB IDC David C Young |
Individual |
1035 Nider Boulevard Naval Amphibious Base Little Creek Suite 100 Norfolk, VA |
|
|
MR. INDEPENDENT DUTY COR Timothy William Newman I |
Individual |
10353 San Diego Mission Rd Apt C219 San Diego, CA |
|
|
MR. IDC Lawrence Milton Preston JR. |
Individual |
3408 Bob Wilson Dr San Diego, CA |
|
|
IDC Julio Esquilin |
Individual |
580 Uss Mariano G. Vallejo Avenue Kings Bay, GA |
|
|
MR. IDC Joe H Espinosa III |
Individual |
3975 Norman Scott Rd Suite 1 San Diego, CA |
|
|
IDC Reynaldo Aldover Guadez |
Individual |
Branch Medical Clinic Mcrd 35000 Guadalcanal Street San Diego, CA |
|
|
MR. IDC Roger Dale Mcgee |
Individual |
2120 Chesterfield Loop Chesapeake, VA |
|
|
MR. Douglas Neil Holleman SR. |
Individual |
Mhc Crew Inflict Naval Station Ingleside Ingleside, TX |
|
|
MR. IDC Michael Dwayne Brizzee |
Individual |
119 San Saba Dr Portland, TX |
|
|
IDC Robert Lee King |
Individual |
Naval Branch Health Clinic 2104 Massey Avenue, Mayport, FL |
|
|
IDC Marty Lynn Golightly |
Individual |
35000 Guadalcanal Ave San Diego, CA |
|
|
IDC Robert Todd Powell |
Individual |
14090 Crestwick Dr E Jacksonville, FL |
|
|
MRS. IDC Jennifer Lynn Segarra |
Individual |
Uss Normandy (cg 60) Fpo Ap, VA |
|
|
MR. IDC Manuel Contreras JR. |
Individual |
Uss Russell Ddg59 Pearl Harbor, HI |
|
|
John Thomas Renn |
Individual |
250 Makalapa Dr Pearl Harbor, HI |
|
|
MR. INDEPENDENT DUTY COR Christopher Daniel Garcia |
Individual |
Clr 17 Ras Camp Pendleton, CA |
|
|
IDC Jason L Mitchell |
Individual |
259 Yorkshire Ln Bellefonte, PA |
|
|
MR. IDC Paul Mclain Ziemer |
Individual |
Naval Ambulatory Care Clinic Point Mugu 1 Dispensary Rd, Bldg 5 Point Mugu Nawc, CA |
|
|
MR. IDC William Alex Clauson SR. |
Individual |
Uss Ross Ddg 71 Fpo Ae 09586 Norfolk, VA |
|
|
IDC Jeffrey William Ard |
Individual |
10651 E St Corpus Christi, TX |
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 |