GREGORY DONALD WILLDEN IDC
NPI 1023546108
Military Health Care Provider - Independent Duty Corpsman in Jacksonville, FL

Q: What is Gregory Willden's NPI number?

The NPI number for Gregory Willden is 1023546108. It was assigned to this individual provider in the NPPES registry on June 1, 2017.

Q: What is Gregory Willden'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 Gregory Willden was last updated on June 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 June 01, 2017

BON HOMME RICHARD ST, BLDG 2480, JACKSONVILLE, FL 32228(904) 270-4533 Get Directions Write a Review

NPPES record last updated: June 25, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 25, 2020, Jun 1, 2017 (2 updates tracked since 2017).

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About Gregory Donald Willden Idc NPPES

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

GREGORY DONALD WILLDEN IDC (NPI 1023546108) is an individual independent duty corpsman provider in Jacksonville, Florida and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1023546108

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameGREGORY DONALD WILLDENCredential: IDC

Location AddressBON HOMME RICHARD ST, BLDG 2480Jacksonville, FL 32228

Mailing AddressBon Homme Richard St, Bldg 2480Jacksonville, FL 32228 · (904) 270-4533

Phone(904) 270-4533

Sole ProprietorNo

Enumeration DateJune 1, 2017

Last NPPES UpdateJune 25, 20202 updates tracked since enumeration

NPPES CertifiedJune 25, 2020

✔ NPI 1023546108 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.

BON HOMME RICHARD ST, Jacksonville, FL 32228

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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 Gregory Willden's NPI number?

The NPI number for Gregory Willden is 1023546108. It was assigned to this individual provider in the NPPES registry on June 1, 2017.

Where is Gregory Willden located?

Gregory Willden practices at Bon Homme Richard St Bldg 2480, Jacksonville, FL 32228. The listed phone number is (904) 270-4533.

What is Gregory Willden'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 Gregory Willden was last updated on June 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.