Individual provider · Type 1 NPI

Randy Scott Breidel, SUB IDC

Independent Duty Corpsman · Virginia Beach, VA

NPI number 1265401673 Active

Practice location

Dam Neck Annex, 1885 Terrier Ave Ste 100
Virginia Beach, VA 23461-2298

Call (757) 314-7221 Map

Mailing address

761 Dwyer Rd
Virginia Beach, VA 23454-6924

Specialties and licenses

TaxonomyCodeLicense
Independent Duty Corpsman Primary 1710I1002XNone listed

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 1265401673

Randy Scott Breidel, SUB IDC's National Provider Identifier is 1265401673, issued on Mar 16, 2006. The primary taxonomy on file is Independent Duty Corpsman (1710I1002X), and the practice location is in Virginia Beach, VA. The record was last updated on Jul 21, 2022.