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MR. RUDY J LOPEZ SO-IDC
NPI 1114284809
Military Health Care Provider - Independent Duty Corpsman in Fort Bragg, NC

Active since April 18, 2012
JOINT SPECIAL OPERATIONS MEDICAL CTR, USAJFKSWCS STOP A., 3004 ARDENNES ST., FORT BRAGG, NC 28310(910) 369-7775 Get Directions Write a Review

NPPES record last updated: April 18, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Rudy J Lopez So-idc NPPES

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

MR. RUDY J LOPEZ SO-IDC (NPI 1114284809) is an individual independent duty corpsman provider in Fort Bragg, North Carolina, licensed in North Carolina (NEC HM8403) and active in the NPI registry since April 2012.

NPPES Registry Identity

NPI1114284809
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameMR. RUDY J LOPEZCredential: SO-IDC
Location AddressJOINT SPECIAL OPERATIONS MEDICAL CTR, USAJFKSWCS STOP A., 3004 ARDENNES ST.Fort Bragg, NC 28310-9610
Mailing AddressJoint Special Operations Medical Ctr, Usajfkswcs Stop A., 3004 Ardennes St.Fort Bragg, NC 28310-9610 · (910) 369-7775
Phone(910) 369-7775
Sole ProprietorNo
Enumeration DateApril 18, 2012
✔ NPI 1114284809 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
License✔ Licensed in NC · NEC HM8403
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.
JOINT SPECIAL OPERATIONS MEDICAL CTR, Fort Bragg, NC 28310
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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 Rudy Lopez's NPI number?

The NPI number for Rudy Lopez is 1114284809. It was assigned to this individual provider in the NPPES registry on April 18, 2012.

Where is Rudy Lopez located?

Rudy Lopez practices at Joint Special Operations Medical Ctr Usajfkswcs Stop A., 3004 Ardennes St., Fort Bragg, NC 28310. The listed phone number is (910) 369-7775.

What is Rudy Lopez'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 Rudy Lopez was last updated on April 18, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.