Individual provider · Type 1 NPI

Mike Cockrill, IDC

Independent Duty Corpsman · Port Hueneme, CA

NPI number 1861460123 Active

Practice location

Underwater Construction Team 2, 4643 Dock Road, Bldg 524
Port Hueneme, CA 93043-0001

Fax (805) 982-3246

Mailing address

2609 Abalone Cv
Port Hueneme, CA 93041-1546

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 1861460123

Mike Cockrill, IDC's National Provider Identifier is 1861460123, issued on Mar 10, 2006. The primary taxonomy on file is Independent Duty Corpsman (1710I1002X), and the practice location is in Port Hueneme, CA. The record was last updated on Jul 13, 2026.