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BRANDON JOHN POTTERS IDC
NPI 1245751460
Military Health Care Provider - Independent Duty Corpsman in Edwards Afb, CA

Active since June 28, 2017
AIR TEST AND EVALUATION SQUADRON NINE RD 187 RD, EDWARDS AFB, CA 93524(661) 860-1540 Get Directions Write a Review

NPPES record last updated: June 28, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brandon John Potters Idc NPPES

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

BRANDON JOHN POTTERS IDC (NPI 1245751460) is an individual independent duty corpsman provider in Edwards Afb, California and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1245751460
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameBRANDON JOHN POTTERSCredential: IDC
Location AddressAIR TEST AND EVALUATION SQUADRON NINE RD 187 RDEdwards Afb, CA 93524-0001
Mailing AddressAir Test And Evaluation Squadron Nine Rd, 187 North Flightline RoadEdwards Afb, CA 93524-0001
Phone(661) 860-1540
Sole ProprietorNo
Enumeration DateJune 28, 2017
✔ NPI 1245751460 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.
AIR TEST AND EVALUATION SQUADRON NINE RD 187 RD, Edwards Afb, CA 93524
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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 Brandon Potters's NPI number?

The NPI number for Brandon Potters is 1245751460. It was assigned to this individual provider in the NPPES registry on June 28, 2017.

Where is Brandon Potters located?

Brandon Potters practices at Air Test And Evaluation Squadron Nine Rd 187 Rd, Edwards Afb, CA 93524. The listed phone number is (661) 860-1540.

What is Brandon Potters'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 Brandon Potters was last updated on June 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.