BRYAN PAUL ZIMMERMAN IDC
NPI 1174641344
Military Health Care Provider - Independent Duty Corpsman in Virginia Beach, VA

Active since March 27, 2007
2360 AMPHIBIOUS DR, VIRGINIA BEACH, VA 23459(757) 462-3423(757) 462-2115 Get Directions Write a Review

NPPES record last updated: March 24, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bryan Paul Zimmerman Idc NPPES

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

BRYAN PAUL ZIMMERMAN IDC (NPI 1174641344) is an individual independent duty corpsman provider in Virginia Beach, Virginia and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1174641344
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameBRYAN PAUL ZIMMERMANCredential: IDC
Location Address2360 AMPHIBIOUS DRVirginia Beach, VA 23459-8810
Mailing Address225 Equinox LndgSuffolk, VA 23434-2078 · (401) 808-0792 · Fax (757) 462-2115
Fax(757) 462-2115
Sole ProprietorNo
Enumeration DateMarch 27, 2007
Last NPPES UpdateMarch 24, 2010
NPI 1174641344 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.
2360 AMPHIBIOUS DR, Virginia Beach, VA 23459

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 Bryan Zimmerman's NPI number?

The NPI number for Bryan Zimmerman is 1174641344. It was assigned to this individual provider in the NPPES registry on March 27, 2007.

Where is Bryan Zimmerman located?

Bryan Zimmerman practices at 2360 Amphibious Dr, Virginia Beach, VA 23459. The listed phone number is (757) 462-3423.

What is Bryan Zimmerman'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 Bryan Zimmerman was last updated on March 24, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.