BRENNON BALL IDMT
NPI 1073372355
Military Health Care Provider - Independent Duty Medical Technicians in Apo, AE

Active since March 18, 2024
31ST MEDICAL GROUP/SGST UNIT 6180, APO, AE 09604(392) 801-8339 Get Directions Write a Review

NPPES record last updated: August 14, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 14, 2025, Aug 2, 2024, Apr 19, 2024 (3 updates tracked since 2024).

About Brennon Ball Idmt NPPES

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

BRENNON BALL IDMT (NPI 1073372355) is an individual independent duty medical technicians provider in Apo, AE and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1073372355
Entity TypeIndividualMale
Primary Taxonomy1710I1003X
Provider Legal NameBRENNON BALLCredential: IDMT
Location Address31ST MEDICAL GROUP/SGST UNIT 6180Apo, AE 09604
Mailing Address31st Medical Group/sgst, Unit 6180Apo, AE 09604-6180
Sole ProprietorNo
Enumeration DateMarch 18, 2024
Last NPPES UpdateAugust 14, 20253 updates tracked since enumeration
NPPES CertifiedAugust 14, 2025
NPI 1073372355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code1710I1003X
Definition

An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians.

31ST MEDICAL GROUP/SGST UNIT 6180, Apo, AE 09604

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073372355, enumerated as an "individual" on March 18, 2024.

The provider is located at 31ST MEDICAL GROUP/SGST UNIT 6180 APO, AE 09604 and the phone number is (392) 801-8339.

Military Health Care Provider with taxonomy code 1710I1003X and a focus in Independent Duty Medical Technicians.