Individual provider · Type 1 NPI

Haaris George Bjotvedt, SOIDC (SO-ATP)

Independent Duty Corpsman · Camp Lejeune, NC

NPI number 1144103292 Active

Practice location

2D Marine Raider Battalion, Battalion Aid Station, Psc Box 20183
Camp Lejeune, NC 28542-0183

Call (910) 440-7704 Map

Mailing address

409 Ridgeway Dr
Sneads Ferry, NC 28460-7613

Specialties and licenses

TaxonomyCodeLicense
Independent Duty Corpsman Primary 1710I1002X10243398HB (NC)

Independent Duty Corpsman: 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 othe…

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About NPI 1144103292

Haaris George Bjotvedt, SOIDC (SO-ATP)'s National Provider Identifier is 1144103292, issued on Jul 28, 2025. The primary taxonomy on file is Independent Duty Corpsman (1710I1002X), and the practice location is in Camp Lejeune, NC. The record was last updated on Jul 28, 2025.