JEFF PRUDENCIO IDC
NPI 1295186419
Military Health Care Provider - Independent Duty Corpsman in Fpo, AE

Q: What is Jeff Prudencio's NPI number?

The NPI number for Jeff Prudencio is 1295186419. It was assigned to this individual provider in the NPPES registry on June 29, 2016. The provider is also known as Jeff Prudencio Idc.

Q: What is Jeff Prudencio'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 Jeff Prudencio was last updated on June 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 June 29, 2016

UNIT 100298 BOX 1, USS WHIRLWIND PC-11, FPO, AE 09591(318) 439-2358 Get Directions Write a Review

NPPES record last updated: June 29, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jeff Prudencio Idc NPPES

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

JEFF PRUDENCIO IDC (NPI 1295186419) is an individual independent duty corpsman provider in Fpo, AE and active in the NPI registry since June 2016.

NPPES Registry Identity

NPI1295186419

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameJEFF PRUDENCIOCredential: IDC

Location AddressUNIT 100298 BOX 1, USS WHIRLWIND PC-11Fpo, AE 09591-9800

Mailing AddressUss Whirlwind Pc-11, Unit 100298 Box 1Fpo, AE 09591

Phone(318) 439-2358

Sole ProprietorNo

Enumeration DateJune 29, 2016

✔ NPI 1295186419 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.

Other Names 1

Professional Name (2)Jeff Prudencio Idc

Other Providers at the Same Location NPPES

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

MR. NICHOLAS ANDREW COOK NCPT, SFIDC

Military Health Care Provider (Independent Duty Corpsman)

UNIT 100298 BOX 1
FPO, AE 09591

(808) 429-5884

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 Jeff Prudencio's NPI number?

The NPI number for Jeff Prudencio is 1295186419. It was assigned to this individual provider in the NPPES registry on June 29, 2016. The provider is also known as Jeff Prudencio Idc.

Where is Jeff Prudencio located?

Jeff Prudencio practices at Unit 100298 Box 1 Uss Whirlwind Pc-11, Fpo, AE 09591. The listed phone number is (318) 439-2358.

What is Jeff Prudencio'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 Jeff Prudencio was last updated on June 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.