BRADLEY ARTHUR GANNON IDC
NPI 1013787357
Military Health Care Provider - Independent Duty Corpsman in Camp Lejeune, NC

Q: What is Bradley Gannon's NPI number?

The NPI number for Bradley Gannon is 1013787357. It was assigned to this individual provider in the NPPES registry on January 8, 2024.

Q: What is Bradley Gannon'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 Bradley Gannon was last updated on January 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 January 08, 2024

2D RECON BN 2D MARINE DIVISION, CAMP LEJEUNE, NC 28546(910) 440-7703 Get Directions Write a Review

NPPES record last updated: January 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Bradley Arthur Gannon Idc NPPES

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

BRADLEY ARTHUR GANNON IDC (NPI 1013787357) is an individual independent duty corpsman provider in Camp Lejeune, North Carolina and active in the NPI registry since January 2024.

NPPES Registry Identity

NPI1013787357

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameBRADLEY ARTHUR GANNONCredential: IDC

Location Address2D RECON BN 2D MARINE DIVISIONCamp Lejeune, NC 28546

Mailing AddressA-71 2d Recon Bn 2d Marine DivisionCamp Lejeune, NC 28546

Phone(910) 440-7703

Sole ProprietorNo

Enumeration DateJanuary 8, 2024

NPPES CertifiedJanuary 4, 2024

✔ NPI 1013787357 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.

2D RECON BN 2D MARINE DIVISION, Camp Lejeune, NC 28546

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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 Bradley Gannon's NPI number?

The NPI number for Bradley Gannon is 1013787357. It was assigned to this individual provider in the NPPES registry on January 8, 2024.

Where is Bradley Gannon located?

Bradley Gannon practices at 2D Recon Bn 2D Marine Division, Camp Lejeune, NC 28546. The listed phone number is (910) 440-7703.

What is Bradley Gannon'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 Bradley Gannon was last updated on January 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.