MR. RANDY SCOTT BREIDEL SUB IDC
NPI 1265401673
Military Health Care Provider - Independent Duty Corpsman in Virginia Beach, VA

Q: What is Randy Breidel's NPI number?

The NPI number for Randy Breidel is 1265401673. It was assigned to this individual provider in the NPPES registry on March 16, 2006.

Q: What is Randy Breidel'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 Randy Breidel was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 March 16, 2006

DAM NECK ANNEX, 1885 TERRIER AVE STE 100, VIRGINIA BEACH, VA 23461(757) 314-7221 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mr. Randy Scott Breidel Sub Idc NPPES

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

MR. RANDY SCOTT BREIDEL SUB IDC (NPI 1265401673) is an individual independent duty corpsman provider in Virginia Beach, Virginia and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1265401673

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameMR. RANDY SCOTT BREIDELCredential: SUB IDC

Location AddressDAM NECK ANNEX, 1885 TERRIER AVE STE 100Virginia Beach, VA 23461-2298

Mailing Address761 Dwyer RdVirginia Beach, VA 23454-6924 · (757) 689-8742

Phone(757) 314-7221

Sole ProprietorYes

Enumeration DateMarch 16, 2006

Last NPPES UpdateJuly 21, 2022

✔ NPI 1265401673 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.

DAM NECK ANNEX, Virginia Beach, VA 23461

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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 Randy Breidel's NPI number?

The NPI number for Randy Breidel is 1265401673. It was assigned to this individual provider in the NPPES registry on March 16, 2006.

Where is Randy Breidel located?

Randy Breidel practices at Dam Neck Annex 1885 Terrier Ave Ste 100, Virginia Beach, VA 23461. The listed phone number is (757) 314-7221.

What is Randy Breidel'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 Randy Breidel was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.