TEDRICK GRAYSON
NPI 1023553815
Military Health Care Provider - Independent Duty Corpsman in West Monroe, LA

Active since January 03, 2017
152 TOSTON RD, WEST MONROE, LA 71292(907) 231-1416 Get Directions Write a Review

NPPES record last updated: January 3, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Tedrick Grayson NPPES

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

TEDRICK GRAYSON (NPI 1023553815) is an individual independent duty corpsman provider in West Monroe, Louisiana and active in the NPI registry since January 2017.

NPPES Registry Identity

NPI1023553815
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameTEDRICK GRAYSON
Location Address152 TOSTON RDWest Monroe, LA 71292-2235
Mailing Address152 Toston RdWest Monroe, LA 71292-2235
Sole ProprietorNo
Enumeration DateJanuary 3, 2017
NPI 1023553815 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.

152 TOSTON RD, West Monroe, LA 71292

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 Tedrick Grayson's NPI number?

The NPI number for Tedrick Grayson is 1023553815. It was assigned to this individual provider in the NPPES registry on January 3, 2017.

Where is Tedrick Grayson located?

Tedrick Grayson practices at 152 Toston Rd, West Monroe, LA 71292. The listed phone number is (907) 231-1416.

What is Tedrick Grayson'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 Tedrick Grayson was last updated on January 3, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.