MR. CLYDE NOBLES JR. IDMT
NPI 1255565149
Military Health Care Provider - Independent Duty Medical Technicians in Scott Afb, IL

Active since May 07, 2009

NPPES record last updated: May 7, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Clyde Nobles Jr. Idmt NPPES

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

MR. CLYDE NOBLES JR. IDMT (NPI 1255565149) is an individual independent duty medical technicians provider in Scott Afb, Illinois and active in the NPI registry since May 2009.

NPPES Registry Identity

NPI1255565149
Entity TypeIndividualMale
Primary Taxonomy1710I1003X
Provider Legal NameMR. CLYDE NOBLES JR.Credential: IDMT
Location Address375 MDGScott Afb, IL 62225
Mailing Address375 MdgScott Afb, IL 62225 · (618) 256-7551
Sole ProprietorYes
Enumeration DateMay 7, 2009
NPI 1255565149 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.
375 MDG, Scott Afb, IL 62225

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Medical)
375 MDG
SCOTT AFB, IL 62225
Dentist
375 MDG, 310 WEST LOSEY STREET
SCOTT AFB, IL 62225

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 Clyde Nobles's NPI number?

The NPI number for Clyde Nobles is 1255565149. It was assigned to this individual provider in the NPPES registry on May 7, 2009.

Where is Clyde Nobles located?

Clyde Nobles practices at 375 Mdg, Scott Afb, IL 62225. The listed phone number is (618) 256-7551.

What is Clyde Nobles'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 Clyde Nobles was last updated on May 7, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.