Individual provider · Type 1 NPI

Bryan Jacob Willbanks, IDC

Independent Duty Corpsman · San Diego, CA

NPI number 1366884686 Active

Practice location

3155 Salmon St
San Diego, CA 92124-3641

Call (843) 475-5341 Map

Other practice locations

4200 Spruce Cape Rd, Kodiak, AK 99615-6935 · (907) 487-5193

Specialties and licenses

Taxonomy	Code	License
Phlebotomy Technician	246RP1900X	None listed
Personal Emergency Response Attendant	146D00000X	None listed
Military Health Care Provider	171000000X	None listed
Health Educator	174H00000X	None listed
Health Information Technician	247000000X	None listed
Independent Duty Corpsman Primary	1710I1002X	None 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 1366884686

Bryan Jacob Willbanks, IDC's National Provider Identifier is 1366884686, issued on Jul 28, 2013. The primary taxonomy on file is Independent Duty Corpsman (1710I1002X), and the practice location is in San Diego, CA. The record was last updated on May 14, 2025.