National Provider Identifier Database

BRADLEY A GANNON, IDC – NPI #1013787357
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 other supporting forces such as contractors and foreign nationals.


Contact Information

BRADLEY A GANNON, IDC
2D RECON BN 2D MARINE DIVISION
CAMP LEJEUNE, NC28546
Phone: 910-440-7703
Fax:
Website:
Specialty Taxonomy Code
* Independent Duty Corpsman 1710I1002X

* Indicates primary specialty

NPI Profile & details for BRADLEY A GANNON

NPI Number 1013787357
Credentials IDC
Entity Individual
Enumeration date 01/08/2024
Last updated 01/08/2024 - About 2 years ago
Sole proprietor1 No
Identifiers n/a
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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