BRADLY JAMES STILLEY IDC
NPI 1003325499
Military Health Care Provider - Independent Duty Corpsman in San Diego, CA

Q: What is Bradly Stilley's NPI number?

The NPI number for Bradly Stilley is 1003325499. It was assigned to this individual provider in the NPPES registry on September 28, 2017.

Q: What is Bradly Stilley's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

Q: When was this NPI record last updated?

The NPPES record for Bradly Stilley was last updated on September 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 28, 2017

34800 BOB WILSON DR, SAN DIEGO, CA 92134(360) 941-9989 Get Directions Write a Review

NPPES record last updated: September 28, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Bradly James Stilley Idc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRADLY JAMES STILLEY IDC (NPI 1003325499) is an individual independent duty corpsman provider in San Diego, California and active in the NPI registry since September 2017.

NPPES Registry Identity

NPI1003325499

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameBRADLY JAMES STILLEYCredential: IDC

Location Address34800 BOB WILSON DRSan Diego, CA 92134-1098

Mailing Address10156 Orleck StSan Diego, CA 92124-2509 · (360) 941-9989

Phone(360) 941-9989

Sole ProprietorYes

Enumeration DateSeptember 28, 2017

✔ NPI 1003325499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers

Taxonomy Code1710I1002X

Definition

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.

34800 BOB WILSON DR, San Diego, CA 92134

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LORENA MARIE FUJII N.P.

Nurse Practitioner (Pediatrics)