NICHOLAS DAVID BECKER
NPI 1174109540
Military Health Care Provider - Independent Duty Corpsman in Groton, CT

Active since March 24, 2021

NPPES record last updated: February 17, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Nicholas David Becker NPPES

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

NICHOLAS DAVID BECKER (NPI 1174109540) is an individual independent duty corpsman provider in Groton, Connecticut and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1174109540
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameNICHOLAS DAVID BECKER
Location Address1 WAHOO AVEGroton, CT 06349-2324
Mailing Address1 Wahoo AveGroton, CT 06349-2324 · (860) 694-4123
Sole ProprietorNo
Enumeration DateMarch 24, 2021
Last NPPES UpdateFebruary 17, 2026
NPPES CertifiedFebruary 17, 2026
NPI 1174109540 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.

1 WAHOO AVE, Groton, CT 06349

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 (Health Service)
1 WAHOO AVE
GROTON, CT 06349
Military Health Care Provider (Independent Duty Corpsman)
1 WAHOO AVE
GROTON, CT 06349
Military Health Care Provider (Independent Duty Corpsman)
1 WAHOO AVE
GROTON, CT 06349
Military Health Care Provider (Independent Duty Corpsman)
1 WAHOO AVE
GROTON, CT 06349
Military Health Care Provider (Independent Duty Corpsman)
1 WAHOO AVE
GROTON, CT 06349
Dentist (General Practice)
1 WAHOO AVE
GROTON, CT 06349
Dentist (General Practice)
1 WAHOO AVE
GROTON, CT 06349
Psychologist (Cognitive & Behavioral)
1 WAHOO AVE
GROTON, CT 06349

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174109540, enumerated as an "individual" on March 24, 2021.

The provider is located at 1 WAHOO AVE GROTON, CT 06349 and the phone number is (860) 694-4123.

Military Health Care Provider with taxonomy code 1710I1002X and a focus in Independent Duty Corpsman.