Individual provider · Type 1 NPI
Benjamin Jacob Gomez, IDC
Independent Duty Corpsman · Pearl City, HI
Practice location
2001 Victor Wharf
Pearl City, HI 96782
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Military Health Care Provider | 171000000X | None listed |
| Independent Duty Medical Technicians | 1710I1003X | None listed |
| Military Outpatient Operational (Transportable) Component Clinic/Center | 261QM1102X | None listed |
| Military Ambulatory Procedure Visits Operational (Transportable) Clinic/Center | 261QM1103X | None listed |
| Military Hospital | 286500000X | 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 1801445663
Benjamin Jacob Gomez, IDC's National Provider Identifier is 1801445663, issued on Sep 5, 2019. The primary taxonomy on file is Independent Duty Corpsman (1710I1002X), and the practice location is in Pearl City, HI. The record was last updated on Dec 17, 2019.