EDWARD C MEDINA IDMT
NPI 1285861211
Military Health Care Provider - Independent Duty Medical Technicians in San Antonio, TX

Active since June 17, 2009
RR 2 BOX 5425, CAMP BULLIS, SAN ANTONIO, TX 78257(210) 295-8337(210) 295-8191 Get Directions Write a Review

NPPES record last updated: June 17, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Edward C Medina Idmt NPPES

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

EDWARD C MEDINA IDMT (NPI 1285861211) is an individual independent duty medical technicians provider in San Antonio, Texas and active in the NPI registry since June 2009.

NPPES Registry Identity

NPI1285861211
Entity TypeIndividualMale
Primary Taxonomy1710I1003X
Provider Legal NameEDWARD C MEDINACredential: IDMT
Location AddressRR 2 BOX 5425, CAMP BULLISSan Antonio, TX 78257-0000
Mailing AddressRr 2 Box 5425, Camp BullisSan Antonio, TX 78257-0000 · (210) 295-8337 · Fax (210) 295-8191
Fax(210) 295-8191
Sole ProprietorNo
Enumeration DateJune 17, 2009
NPI 1285861211 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.
RR 2 BOX 5425, San Antonio, TX 78257

Other Providers at the Same Location NPPES

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

Military Health Care Provider (Independent Duty Medical Technicians)
RR 2 BOX 5425, 343 TRS/MAS CAMP BULLIS
SAN ANTONIO, TX 78257

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 Edward Medina's NPI number?

The NPI number for Edward Medina is 1285861211. It was assigned to this individual provider in the NPPES registry on June 17, 2009.

Where is Edward Medina located?

Edward Medina practices at Rr 2 Box 5425 Camp Bullis, San Antonio, TX 78257. The listed phone number is (210) 295-8337.

What is Edward Medina'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 Edward Medina was last updated on June 17, 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.