Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. SHANE A. WALTER IDC
NPI 1316915309
Military Health Care Provider - Independent Duty Corpsman in Silverdale, WA

Q: What is Shane Walter's NPI number?

The NPI number for Shane Walter is 1316915309. It was assigned to this individual provider in the NPPES registry on March 8, 2006.

Q: What is Shane Walter'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 Shane Walter was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 32 days 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 March 08, 2006

BHC BANGOR, 2050 BARB ST, SUITE A, NAVAL SUBMARINE BASE BANGOR, SILVERDALE, WA 98315(360) 315-4356(360) 396-4247 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Shane A. Walter Idc NPPES

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

MR. SHANE A. WALTER IDC (NPI 1316915309) is an individual independent duty corpsman provider in Silverdale, Washington, licensed in Washington (0I1002X171) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1316915309

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameMR. SHANE A. WALTERCredential: IDC

Location AddressBHC BANGOR, 2050 BARB ST, SUITE A, NAVAL SUBMARINE BASE BANGORSilverdale, WA 98315-2099

Mailing Address790 Ne Shorewood CtPoulsbo, WA 98370-8436 · (360) 598-5312

Phone(360) 315-4356

Fax(360) 396-4247

Sole ProprietorNo

Enumeration DateMarch 8, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1316915309 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

License✔ Licensed in WA · 0I1002X171

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.

BHC BANGOR, 2050 BARB ST, Silverdale, WA 98315

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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 Shane Walter's NPI number?

The NPI number for Shane Walter is 1316915309. It was assigned to this individual provider in the NPPES registry on March 8, 2006.

Where is Shane Walter located?

Shane Walter practices at Bhc Bangor, 2050 Barb St Suite A, Naval Submarine Base Bangor, Silverdale, WA 98315. The listed phone number is (360) 315-4356.

What is Shane Walter'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 Shane Walter was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 32 days 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.