Individual provider · Type 1 NPI

Bradley Michael Witherell

Independent Duty Corpsman · Jacksonville, FL

NPI number 1487161816 Active

Practice location

2104 Massey Ave Building 2104
Jacksonville, FL 32228-0148

Call (904) 270-4303 Map

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 1487161816

Bradley Michael Witherell's National Provider Identifier is 1487161816, issued on Jan 8, 2018. The primary taxonomy on file is Independent Duty Corpsman (1710I1002X), and the practice location is in Jacksonville, FL. The record was last updated on Apr 15, 2025.