| NPI | Name | Type | Address |
|---|---|---|---|
|
SFIDC Jesse R Bedia |
Individual |
1400 Otterbourne Cir Chesapeake, VA |
|
|
MR. I.D.C. Sean V Gutierrez |
Individual |
100 Brewster Ave Camp Lejeune, NC |
|
|
MR. Chaddrick Lendon Jack |
Individual |
10651 E St Corpus Christi, TX |
|
|
MRS. Osvaldo Diaz |
Individual |
3d Battalion 1st Mar Battalion Aid Station Box 555422 Camp Pendleton, CA |
|
|
IDC Matthew David Hall |
Individual |
1 Pinckney Blvd Beaufort, SC |
|
|
Alexander Joseph Mabile III |
Individual |
5722 Integrity Dr Navmac Millington, TN |
|
|
IDC Michael Nutt |
Individual |
Bldg 517 Taugtog Ave Navsubscol Groton, CT |
|
|
MR. IDC Peter Robert Rona |
Individual |
Bldg 4389 Beaufort Rd Naval Health Clinic Cherry Point, NC |
|
|
MR. IDC Michael Bohdan Bozydaj |
Individual |
14900 Park Central Thurmont, MD |
|
|
MR. IDC Karl Frederic Matous |
Individual |
Msron 9 Naval Station Everett 2000 Marine View Drive Building 2134 Everett, WA |
|
|
IDC Damon Anderson |
Individual |
108 Brentwood Cir Virginia Beach, VA |
|
|
NAVY IDC Juan Carlos Vazquez |
Individual |
3936 Baja Vista Dr Oceanside, CA |
|
|
MR. I.D.C Christopher James Bray |
Individual |
Psc Box 8023 Bldg 8029 Beaufort Rd Naval Health Clinic Cherry Point Cherry Point, NC |
|
|
MR. Jesse John Tossetti |
Individual |
6591 49 Palms Ave Twentynine Palms, CA |
|
|
MR. IDC Travis James Harmon |
Individual |
1550 Tomcat Blvd Virginia Beach, VA |
|
|
MRS. IDC Pamela Jeanne Arceneaux |
Individual |
1035 Nider Blvd Suite 100 Norfolk, VA |
|
|
MS. Anita Dalton |
Individual |
554 Loch Ness Dr Apt E Newport News Newport News, VA |
|
|
MR. Christopher Lee Brey |
Individual |
Bureau Of Medicine And Surgery 2300 E Street, Nw Washington, DC |
|
|
I.D.C. Carlos Roberto Martinez |
Individual |
161 1st St Bldg 1402 Port Hueneme, CA |
|
|
MR. Edward Vincent Kay |
Individual |
881 Uss James Madison Rd Kings Bay, GA |
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 |