BRIAN RUSSELL BALCOLM IDMT
NPI 1205110368
Military Health Care Provider - Independent Duty Medical Technicians in Mcconnell Afb, KS

Active since October 06, 2011
57950 LEAVENWORTH ST, MCCONNELL AFB, KS 67221(316) 759-6300 Get Directions Write a Review

NPPES record last updated: July 10, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 10, 2023, Aug 9, 2022 (2 updates tracked since 2022).

About Brian Russell Balcolm Idmt NPPES

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

BRIAN RUSSELL BALCOLM IDMT (NPI 1205110368) is an individual independent duty medical technicians provider in Mcconnell Afb, Kansas and active in the NPI registry since October 2011.

NPPES Registry Identity

NPI1205110368
Entity TypeIndividualMale
Primary Taxonomy1710I1003X
Provider Legal NameBRIAN RUSSELL BALCOLMCredential: IDMT
Location Address57950 LEAVENWORTH STMcconnell Afb, KS 67221-3505
Mailing Address57950 Leavenworth StMcconnell Afb, KS 67221-3505 · (316) 759-3600
Sole ProprietorNo
Enumeration DateOctober 6, 2011
Last NPPES UpdateJuly 10, 20232 updates tracked since enumeration
NPPES CertifiedJuly 10, 2023
NPI 1205110368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code1710I1003X
Definition
An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians.
57950 LEAVENWORTH ST, Mcconnell Afb, KS 67221

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.

Nurse Practitioner (Family)
57950 LEAVENWORTH ST
MCCONNELL AFB, KS 67221
Student in an Organized Health Care Education/Training Program
57950 LEAVENWORTH ST
MCCONNELL AFB, KS 67221
Social Worker (Clinical)
57950 LEAVENWORTH ST
MCCONNELL AFB, KS 67221
Physical Therapist
57950 LEAVENWORTH ST
MCCONNELL AFB, KS 67221
Physical Therapist
57950 LEAVENWORTH ST
MCCONNELL AFB, KS 67221
Pharmacist
57950 LEAVENWORTH ST
MCCONNELL AFB, KS 67221
Pharmacist
57950 LEAVENWORTH ST
MCCONNELL AFB, KS 67221
Pharmacist
57950 LEAVENWORTH ST
MCCONNELL AFB, KS 67221

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 Brian Balcolm's NPI number?

The NPI number for Brian Balcolm is 1205110368. It was assigned to this individual provider in the NPPES registry on October 6, 2011.

Where is Brian Balcolm located?

Brian Balcolm practices at 57950 Leavenworth St, Mcconnell Afb, KS 67221. The listed phone number is (316) 759-6300.

What is Brian Balcolm's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Medical Technicians, with taxonomy code 1710I1003X.

When was this NPI record last updated?

The NPPES record for Brian Balcolm was last updated on July 10, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.