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: July 19, 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 16

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
Military Health Care Provider (Independent Duty Medical Technicians)
52 MDG, UNIT 3690
APO, AE 09126
Pharmacist
52 MDG, UNIT 3690
APO, AE 09126
Military Health Care Provider (Independent Duty Medical Technicians)
52 MDG, UNIT 3690
APO, AE 09126
Military Health Care Provider (Independent Duty Medical Technicians)
52 MDG, UNIT 3690
APO, AE 09126
Family Medicine
52 MDG, UNIT 3690
APO, AE 09126
Dentist (General Practice)
52 MDG, UNIT 3690
APO, AE 09126
Nurse Practitioner (Primary Care)
52 MDG, UNIT 3690
APO, AE 09126

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265666515, enumerated as an "individual" on May 14, 2009.

The provider is located at 52 MDG UNIT 3865 APO, AE 09126 and the phone number is .

Military Health Care Provider with taxonomy code 1710I1003X and a focus in Independent Duty Medical Technicians.