Individual provider · Type 1 NPI

Bryan Edward Bouchard, IDC

Independent Duty Corpsman · Camp Lejeune, NC

NPI number 1861692857 Active

Practice location

2nd Tank Battalion
Camp Lejeune, NC 28542

Mailing address

801 Brynn Marr Rd
Jacksonville, NC 28546-7608

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 1861692857

Bryan Edward Bouchard, IDC's National Provider Identifier is 1861692857, issued on Jul 19, 2007. 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 Jul 19, 2007.