BRETT RANDALL IDMT
NPI 1114261526
Military Health Care Provider - Independent Duty Medical Technicians in Charleston Afb, SC

Active since November 26, 2012
204 W HILL BLVD, CHARLESTON AFB, SC 29404(843) 963-6880 Get Directions Write a Review

NPPES record last updated: July 4, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brett Randall Idmt NPPES

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

BRETT RANDALL IDMT (NPI 1114261526) is an individual independent duty medical technicians provider in Charleston Afb, South Carolina and active in the NPI registry since November 2012.

NPPES Registry Identity

NPI1114261526
Entity TypeIndividualMale
Primary Taxonomy1710I1003X
Provider Legal NameBRETT RANDALLCredential: IDMT
Location Address204 W HILL BLVDCharleston Afb, SC 29404-4704
Mailing Address204 W Hill BlvdCharleston Afb, SC 29404-4704
Sole ProprietorNo
Enumeration DateNovember 26, 2012
Last NPPES UpdateJuly 4, 2014
NPI 1114261526 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.
204 W HILL BLVD, Charleston Afb, SC 29404

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.

Clinic/Center
204 W HILL BLVD
CHARLESTON AFB, SC 29404
Social Worker (Clinical)
204 W HILL BLVD
CHARLESTON AFB, SC 29404
Family Medicine
204 W HILL BLVD
CHARLESTON AFB, SC 29404
Pharmacist
204 W HILL BLVD, 628TH MEDICAL GROUP
CHARLESTON AFB, SC 29404
Military Health Care Provider (Independent Duty Medical Technicians)
204 W HILL BLVD
CHARLESTON AFB, SC 29404
Social Worker (Clinical)
204 W HILL BLVD
JOINT BASE CHARLESTON, SC 29404
Social Worker (Clinical)
204 W HILL BLVD
JOINT BASE CHARLESTON, SC 29404
Preventive Medicine (Aerospace Medicine)
204 W HILL BLVD
CHARLESTON AFB, SC 29404

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 Brett Randall's NPI number?

The NPI number for Brett Randall is 1114261526. It was assigned to this individual provider in the NPPES registry on November 26, 2012.

Where is Brett Randall located?

Brett Randall practices at 204 W Hill Blvd, Charleston Afb, SC 29404. The listed phone number is (843) 963-6880.

What is Brett Randall'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 Brett Randall was last updated on July 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.