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

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Independent Duty Corpsman Providers

NPI Name Type Address

1801853874

MR. IDC Barry Wayne Downing

Individual

881 Uss James Madison Rd

Kings Bay, GA

1780640722

Sean Mason

Individual

15 Natures Bounty Trl

Saint Marys, GA

1316904097

MR. IDC Gilbert Ruiz Barrera JR.

Individual

314a Smith Ln

San Clemente, CA

1275590184

MR. James E Day

Individual

10651 E St

Corpus Christi, TX

1477505733

IDC Cindy Marie Cook

Individual

6000 W Highway 98

Pensacola, FL

1013969989

U.S. NAVY IDC Jeffrey David Weeks

Individual

Psc 482 Box 233

Fpo Ap, 96602

1669427290

IDC Richard Brian Butorac

Individual

1711 Doolittle Ave

Fort Worth, TX

1336195080

NAVY IDC Michael James Young

Individual

5720 Integrity Dr

Millington, TN

1669429213

MR. Alan D Garrigus

Individual

Branch Health Clinic Psns

1400 Farragu Ave

Bremerton, WA

1366499253

MR. IDC Georges Custodio Taino

Individual

1400 Farragut Ave

Bremerton, WA

1366481665

Brad Andrew Lipert

Individual

620 John Paul Jones Cir

Portsmouth, VA

1477594646

Michael Dale Richardson

Individual

Hc-83 Bldg 3005

Naval Hospital Branch Clinic Mcmwtc

Bridgeport, CA

1699716258

MR. Guillermo Venegas

Individual

1 Boone Rd

Bremerton, WA

1407898539

MR. IDC Michael Glen Peck JR.

Individual

822 Clark St

Suite 400

Pearl Harbor, HI

1679514392

Bernard H Agnew

Individual

2100 Thresher Ave

Uss Maine Ssbn 741 Blue

Silverdale, WA

1396789244

MR. IDC Steven Reyes Wood

Individual

2100 Thresher Ave

Uss Nebraska Ssbn 739 Blue

Silverdale, WA

1912941980

IDC Jeffrey Lynn Mcgregor

Individual

1 Wahoo Ave

Undersea Medicine

Groton, CT

1043254048

Teresa R Mckinney

Individual

620 John Paul Jones Cir

Portsmouth, VA

1891739496

IDC Darrin Ernest Way

Individual

2821 Anderson Ave

Honolulu, HI

1164466355

MR. US NAVY S-IDC Carlos Edwin Perezcastro

Individual

2nd Batallion 3rd Marines Batallion Aid Station

Box 63012

Mcbh Kaneohe Bay, HI

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