ALONZO JAMELLE SHIELDS IDC
NPI 1013267996
Military Health Care Provider - Independent Duty Corpsman in Twentynine Palms, CA

Active since September 18, 2012
REGIMENTAL AID STATION, 7TH MARINE HQ RAS, TWENTYNINE PALMS, CA 92278(334) 370-7078 Get Directions Write a Review

NPPES record last updated: September 18, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Alonzo Jamelle Shields Idc NPPES

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

ALONZO JAMELLE SHIELDS IDC (NPI 1013267996) is an individual independent duty corpsman provider in Twentynine Palms, California, licensed in Alabama (7244689) and active in the NPI registry since September 2012.

NPPES Registry Identity

NPI1013267996
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameALONZO JAMELLE SHIELDSCredential: IDC
Location AddressREGIMENTAL AID STATION, 7TH MARINE HQ RASTwentynine Palms, CA 92278
Mailing AddressBox 788-260, 2nd Marine Regiment StationTwentynine Palms, CA 92278-8266 · (334) 370-7078
Sole ProprietorNo
Enumeration DateSeptember 18, 2012
NPI 1013267996 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
License Licensed in AL · 7244689
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.
REGIMENTAL AID STATION, Twentynine Palms, CA 92278

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alonzo Shields's NPI number?

The NPI number for Alonzo Shields is 1013267996. It was assigned to this individual provider in the NPPES registry on September 18, 2012.

Where is Alonzo Shields located?

Alonzo Shields practices at Regimental Aid Station 7th Marine Hq Ras, Twentynine Palms, CA 92278. The listed phone number is (334) 370-7078.

What is Alonzo Shields's specialty?

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

When was this NPI record last updated?

The NPPES record for Alonzo Shields was last updated on September 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.