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BRADLEY REINALDA IDC
NPI 1083926711
Military Health Care Provider - Independent Duty Corpsman in Deltona, FL

Active since July 10, 2010
2170 ENTERPRISE OSTEEN RD, DELTONA, FL 32738(407) 451-1184 Get Directions Write a Review

NPPES record last updated: July 10, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bradley Reinalda Idc NPPES

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

BRADLEY REINALDA IDC (NPI 1083926711) is an individual independent duty corpsman provider in Deltona, Florida and active in the NPI registry since July 2010.

NPPES Registry Identity

NPI1083926711
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameBRADLEY REINALDACredential: IDC
Location Address2170 ENTERPRISE OSTEEN RDDeltona, FL 32738-9342
Mailing Address2170 Enterprise Osteen Rd.Deltona, FL 32738
Phone(407) 451-1184
Sole ProprietorNo
Enumeration DateJuly 10, 2010
✔ NPI 1083926711 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.
2170 ENTERPRISE OSTEEN RD, Deltona, FL 32738
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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 Reinalda's NPI number?

The NPI number for Bradley Reinalda is 1083926711. It was assigned to this individual provider in the NPPES registry on July 10, 2010.

Where is Bradley Reinalda located?

Bradley Reinalda practices at 2170 Enterprise Osteen Rd, Deltona, FL 32738. The listed phone number is (407) 451-1184.

What is Bradley Reinalda'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 Reinalda was last updated on July 10, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.