RYAN M BELLACK IDMT
NPI 1093411902
Military Health Care Provider - Independent Duty Medical Technicians in Hickam Afb, HI

Active since February 02, 2023
755 SCOTT CIR, HICKAM AFB, HI 96853(808) 430-8898 Get Directions Write a Review

NPPES record last updated: January 27, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 27, 2026, Mar 5, 2025, Feb 2, 2023 (3 updates tracked since 2023).

About Ryan M Bellack Idmt NPPES

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

RYAN M BELLACK IDMT (NPI 1093411902) is an individual independent duty medical technicians provider in Hickam Afb, Hawaii and active in the NPI registry since February 2023.

NPPES Registry Identity

NPI1093411902
Entity TypeIndividualMale
Primary Taxonomy1710I1003X
Provider Legal NameRYAN M BELLACKCredential: IDMT
Location Address755 SCOTT CIRHickam Afb, HI 96853-5399
Mailing Address101 Bodin CirTravis Afb, CA 94535-1809 · (757) 754-3477
Sole ProprietorNo
Enumeration DateFebruary 2, 2023
Last NPPES UpdateJanuary 27, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2026
NPI 1093411902 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.

755 SCOTT CIR, Hickam Afb, HI 96853

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
755 SCOTT CIR
JBPHH, HI 96853
Advanced Practice Midwife
755 SCOTT CIR
JBPHH, HI 96853
Physician Assistant (Medical)
755 SCOTT CIR
JBPHH, HI 96853
Counselor (Addiction (Substance Use Disorder))
755 SCOTT CIR, BLDG 559
HICKAM AFB, HI 96853
Family Medicine
755 SCOTT CIR
JBPHH, HI 96853
Dentist
755 SCOTT CIR
HICKAM AFB, HI 96853
Dentist (General Practice)
755 SCOTT CIR, 15 MDG SGD
HICKAM AFB, HI 96853
Pediatrics
755 SCOTT CIR
JBPHH, HI 96853

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 Ryan Bellack's NPI number?

The NPI number for Ryan Bellack is 1093411902. It was assigned to this individual provider in the NPPES registry on February 2, 2023.

Where is Ryan Bellack located?

Ryan Bellack practices at 755 Scott Cir, Hickam Afb, HI 96853. The listed phone number is (808) 430-8898.

What is Ryan Bellack's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Medical Technicians, with taxonomy code 1710I1003X.

When was this NPI record last updated?

The NPPES record for Ryan Bellack was last updated on January 27, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.