CHARLES GRADY WORTMAN IDMT
NPI 1265666515
Military Health Care Provider - Independent Duty Medical Technicians in Apo, AE

Active since May 14, 2009
52 MDG, UNIT 3865, APO, AE 09126 Get Directions Write a Review

NPPES record last updated: May 14, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Charles Grady Wortman Idmt NPPES

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

CHARLES GRADY WORTMAN IDMT (NPI 1265666515) is an individual independent duty medical technicians provider in Apo, AE and active in the NPI registry since May 2009.

NPPES Registry Identity

NPI1265666515
Entity TypeIndividualMale
Primary Taxonomy1710I1003X
Provider Legal NameCHARLES GRADY WORTMANCredential: IDMT
Location Address52 MDG, UNIT 3865Apo, AE 09126-3865
Mailing Address52 Mdg, Unit 3865Apo, AE 09126-3865
Sole ProprietorNo
Enumeration DateMay 14, 2009
NPI 1265666515 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.

Other Providers at the Same Location NPPES 15

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

Physician Assistant (Medical)
52 MDG, UNIT 3690
APO, AE 09126
Psychiatry & Neurology (Psychiatry)
52 MDG, UNIT 3690
APO, AE 09126
Family Medicine
52 MDG, UNIT 3690
APO, AE 09126
Social Worker (Clinical)
52 MDG, UNIT 3690
APO, AE 09126
Physician Assistant (Medical)
52 MDG, UNIT 3690
APO, AE 09126
Dental Hygienist
52 MDG, UNIT 3690
APO, AE 09126
Audiologist
52 MDG, UNIT 3690
APO, AE 09126
Physical Therapist
52 MDG, UNIT 3690
APO, AE 09126

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 Charles Wortman's NPI number?

The NPI number for Charles Wortman is 1265666515. It was assigned to this individual provider in the NPPES registry on May 14, 2009.

Where is Charles Wortman located?

Charles Wortman practices at 52 Mdg Unit 3865, Apo, AE 09126.

What is Charles Wortman'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 Charles Wortman was last updated on May 14, 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.