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TYLER SCARBOROUGH
NPI 1164719332
Military Health Care Provider - Independent Duty Corpsman in Camp Lejeune, NC

Active since July 07, 2011
66A COURTHOUSE RD, CAMP LEJEUNE, NC 28542(910) 440-7704(910) 440-7059 Get Directions Write a Review

NPPES record last updated: July 7, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tyler Scarborough NPPES

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

TYLER SCARBOROUGH (NPI 1164719332) is an individual independent duty corpsman provider in Camp Lejeune, North Carolina and active in the NPI registry since July 2011.

NPPES Registry Identity

NPI1164719332
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameTYLER SCARBOROUGH
Location Address66A COURTHOUSE RDCamp Lejeune, NC 28542-0183
Mailing AddressPsc 20183Camp Lejeune, NC 28542-0183 · (910) 440-7704 · Fax (910) 440-7059
Phone(910) 440-7704
Fax(910) 440-7059
Sole ProprietorYes
Enumeration DateJuly 7, 2011
✔ NPI 1164719332 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.
66A COURTHOUSE RD, Camp Lejeune, NC 28542
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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 Tyler Scarborough's NPI number?

The NPI number for Tyler Scarborough is 1164719332. It was assigned to this individual provider in the NPPES registry on July 7, 2011.

Where is Tyler Scarborough located?

Tyler Scarborough practices at 66A Courthouse Rd, Camp Lejeune, NC 28542. The listed phone number is (910) 440-7704.

What is Tyler Scarborough'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 Tyler Scarborough was last updated on July 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.