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BRENT THOMAS GRACEFFA IDC
NPI 1306255641
Military Health Care Provider - Independent Duty Corpsman in Rockton, IL

Active since August 12, 2014
107 STRAWBRIDGE DR, ROCKTON, IL 61072(760) 212-1995 Get Directions Write a Review

NPPES record last updated: August 12, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brent Thomas Graceffa Idc NPPES

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

BRENT THOMAS GRACEFFA IDC (NPI 1306255641) is an individual independent duty corpsman provider in Rockton, Illinois and active in the NPI registry since August 2014.

NPPES Registry Identity

NPI1306255641
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameBRENT THOMAS GRACEFFACredential: IDC
Location Address107 STRAWBRIDGE DRRockton, IL 61072-2957
Mailing Address107 Strawbridge DrRockton, IL 61072-2957 · (760) 212-1995
Phone(760) 212-1995
Sole ProprietorYes
Enumeration DateAugust 12, 2014
✔ NPI 1306255641 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.
107 STRAWBRIDGE DR, Rockton, IL 61072
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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 Brent Graceffa's NPI number?

The NPI number for Brent Graceffa is 1306255641. It was assigned to this individual provider in the NPPES registry on August 12, 2014.

Where is Brent Graceffa located?

Brent Graceffa practices at 107 Strawbridge Dr, Rockton, IL 61072. The listed phone number is (760) 212-1995.

What is Brent Graceffa'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 Brent Graceffa was last updated on August 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.