BLAKE MATTHEW REYNOLDS SOIDC
NPI 1316239197
Military Health Care Provider - Independent Duty Corpsman in Camp Lejeune, NC

Q: What is Blake Reynolds's NPI number?

The NPI number for Blake Reynolds is 1316239197. It was assigned to this individual provider in the NPPES registry on May 11, 2011.

Q: What is Blake Reynolds'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 Blake Reynolds was last updated on May 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 May 11, 2011

2D MSOB, BLDG. A-66, CAMP LEJEUNE, NC 28542(910) 440-7704 Get Directions Write a Review

NPPES record last updated: May 11, 2011. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Blake Matthew Reynolds Soidc NPPES

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

BLAKE MATTHEW REYNOLDS SOIDC (NPI 1316239197) is an individual independent duty corpsman provider in Camp Lejeune, North Carolina and active in the NPI registry since May 2011.

NPPES Registry Identity

NPI1316239197

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameBLAKE MATTHEW REYNOLDSCredential: SOIDC

Location Address2D MSOB, BLDG. A-66Camp Lejeune, NC 28542-0183

Mailing AddressPsc Box 20116, 2d Marine Special Operations BattalionCamp Lejeune, NC 28542-0116 · (910) 440-7704

Phone(910) 440-7704

Sole ProprietorNo

Enumeration DateMay 11, 2011

✔ NPI 1316239197 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.

2D MSOB, BLDG. A-66, Camp Lejeune, NC 28542

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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 Blake Reynolds's NPI number?

The NPI number for Blake Reynolds is 1316239197. It was assigned to this individual provider in the NPPES registry on May 11, 2011.

Where is Blake Reynolds located?

Blake Reynolds practices at 2D Msob, Bldg. A-66, Camp Lejeune, NC 28542. The listed phone number is (910) 440-7704.

What is Blake Reynolds'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 Blake Reynolds was last updated on May 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.