MR. JEREMY LEE SIMON I.D.C.
NPI 1205012028
Military Health Care Provider - Independent Duty Corpsman in Camp Lejeune, NC

Q: What is Jeremy Simon's NPI number?

The NPI number for Jeremy Simon is 1205012028. It was assigned to this individual provider in the NPPES registry on January 10, 2008.

Q: What is Jeremy Simon's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

Q: When was this NPI record last updated?

The NPPES record for Jeremy Simon was last updated on January 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since January 10, 2008

100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547(910) 451-8862(910) 451-6654 Get Directions Write a Review

NPPES record last updated: January 10, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Jeremy Lee Simon I.d.c. NPPES

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

MR. JEREMY LEE SIMON I.D.C. (NPI 1205012028) is an individual independent duty corpsman provider in Camp Lejeune, North Carolina and active in the NPI registry since January 2008.

NPPES Registry Identity

NPI1205012028

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameMR. JEREMY LEE SIMONCredential: I.D.C.

Location Address100 BREWSTER BLVDCamp Lejeune, NC 28547-2538

Mailing Address100 Brewster BlvdCamp Lejeune, NC 28547-2538 · (910) 451-8862 · Fax (910) 451-6654

Phone(910) 451-8862

Fax(910) 451-6654

Sole ProprietorNo

Enumeration DateJanuary 10, 2008

✔ NPI 1205012028 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.

100 BREWSTER BLVD, Camp Lejeune, NC 28547

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