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HAARIS GEORGE BJOTVEDT SOIDC (SO-ATP)
NPI 1144103292
Military Health Care Provider - Independent Duty Corpsman in Camp Lejeune, NC

Active since July 28, 2025
2D MARINE RAIDER BATTALION, BATTALION AID STATION, PSC BOX 20183, CAMP LEJEUNE, NC 28542(910) 440-7704 Get Directions Write a Review

NPPES record last updated: July 28, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Haaris George Bjotvedt Soidc (so-atp) NPPES

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

HAARIS GEORGE BJOTVEDT SOIDC (SO-ATP) (NPI 1144103292) is an individual independent duty corpsman provider in Camp Lejeune, North Carolina, licensed in North Carolina (10243398HB) and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1144103292
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameHAARIS GEORGE BJOTVEDTCredential: SOIDC (SO-ATP)
Location Address2D MARINE RAIDER BATTALION, BATTALION AID STATION, PSC BOX 20183Camp Lejeune, NC 28542-0183
Mailing Address409 Ridgeway DrSneads Ferry, NC 28460-7613 · (602) 809-0298
Phone(910) 440-7704
Sole ProprietorNo
Enumeration DateJuly 28, 2025
NPPES CertifiedJuly 17, 2025
✔ NPI 1144103292 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 · 10243398HB
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.

2D MARINE RAIDER BATTALION, Camp Lejeune, NC 28542
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Other Providers at the Same Location NPPES 7

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

JOHN LAYNE BURGESS SOIDC
Military Health Care Provider (Independent Duty Corpsman)
2D MARINE RAIDER BATTALION, PSC BOX 20183
CAMP LEJEUNE, NC 28542
Onslow County (208) 312-1165
GREGORY NORMAN
Military Health Care Provider (Independent Duty Corpsman)
2D MARINE RAIDER BATTALION, PSC BOX: 20183
CAMP LEJEUNE, NC 28542
Onslow County (910) 440-7704
JOSHUA PEREZ
Military Health Care Provider (Independent Duty Corpsman)
2D MARINE RAIDER BATTALION
CAMPE LEJEUNE, NC 28542
Onslow County (910) 440-7704
RIVER ROWLEY SOIDC
Military Health Care Provider (Independent Duty Corpsman)
2D MARINE RAIDER BATTALION
CAMP LEJEUNE, NC 28542
Onslow County (435) 632-2390
RYAN THOMAS BEASON SO/IDC
Military Health Care Provider (Independent Duty Corpsman)
2D MARINE RAIDER BATTALION
FPO, AA 28542
Onslow County (910) 440-7704
CHARLES SMYERS
Military Health Care Provider (Independent Duty Corpsman)
2D MARINE RAIDER BATTALION
FPO, AA 28542
Onslow County (910) 440-7704
ANTHONY JOSEPH WICK
Military Health Care Provider (Independent Duty Corpsman)
2D MARINE RAIDER BATTALION
CAMP LEJEUNE, NC 28542
Onslow County (224) 545-3629

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 Haaris Bjotvedt's NPI number?

The NPI number for Haaris Bjotvedt is 1144103292. It was assigned to this individual provider in the NPPES registry on July 28, 2025.

Where is Haaris Bjotvedt located?

Haaris Bjotvedt practices at 2D Marine Raider Battalion Battalion Aid Station, Psc Box 20183, Camp Lejeune, NC 28542. The listed phone number is (910) 440-7704.

What is Haaris Bjotvedt'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 Haaris Bjotvedt was last updated on July 28, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.