Individual provider · Type 1 NPI

Adam Randolph Smith, IDC

Independent Duty Corpsman · Camp Lejeune, NC

NPI number 1588274641 Active

Practice location

H M Smith Blvd
Camp Lejeune, NC 28547

Mailing address

205 Wintergreen Ln
Hubert, NC 28539-4659

Other practice locations

  • 205 Wintergreen Ln, Hubert, NC 28539-4659 · (610) 291-7461

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 1588274641

Adam Randolph Smith, IDC's National Provider Identifier is 1588274641, issued on Aug 4, 2020. 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 Aug 5, 2025.