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MR. SHANE JEROME SEERY I.D.C.
NPI 1063645208
Military Health Care Provider - Independent Duty Corpsman in Camp Pendleton, CA

Active since September 03, 2009
BUILDING 632044 CHRISTIANITOS ROAD, NAVAL EXPEDITIONARY MEDICAL TRAINING INSTITUTE, CAMP PENDLETON, CA 92055(760) 725-7121 Get Directions Write a Review

NPPES record last updated: May 6, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Shane Jerome Seery I.d.c. NPPES

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

MR. SHANE JEROME SEERY I.D.C. (NPI 1063645208) is an individual independent duty corpsman provider in Camp Pendleton, California and active in the NPI registry since September 2009.

NPPES Registry Identity

NPI1063645208
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameMR. SHANE JEROME SEERYCredential: I.D.C.
Location AddressBUILDING 632044 CHRISTIANITOS ROAD, NAVAL EXPEDITIONARY MEDICAL TRAINING INSTITUTECamp Pendleton, CA 92055
Mailing AddressPsc Box 555223, Naval Expeditionary Medical Training InstituteCamp Pendleton, CA 92055-5223 · (760) 725-7121
Phone(760) 725-7121
Sole ProprietorNo
Enumeration DateSeptember 3, 2009
Last NPPES UpdateMay 6, 2014
✔ NPI 1063645208 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.
BUILDING 632044 CHRISTIANITOS ROAD, Camp Pendleton, CA 92055
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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 Shane Seery's NPI number?

The NPI number for Shane Seery is 1063645208. It was assigned to this individual provider in the NPPES registry on September 3, 2009.

Where is Shane Seery located?

Shane Seery practices at Building 632044 Christianitos Road Naval Expeditionary Medical Training Institute, Camp Pendleton, CA 92055. The listed phone number is (760) 725-7121.

What is Shane Seery'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 Shane Seery was last updated on May 6, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.