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COLTON ANTHONY WEGRZYN IDC
NPI 1336730019
Military Health Care Provider - Independent Duty Corpsman in Gulfport, MS

Active since January 27, 2021
5501 MARVIN SHIELDS BLVD, GULFPORT, MS 39501(228) 822-5919 Get Directions Write a Review

NPPES record last updated: August 15, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 15, 2023, Jan 27, 2021 (2 updates tracked since 2021).

About Colton Anthony Wegrzyn Idc NPPES

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

COLTON ANTHONY WEGRZYN IDC (NPI 1336730019) is an individual independent duty corpsman provider in Gulfport, Mississippi and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1336730019
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameCOLTON ANTHONY WEGRZYNCredential: IDC
Location Address5501 MARVIN SHIELDS BLVDGulfport, MS 39501-9007
Mailing Address14755 Audubon Lake BlvdGulfport, MS 39503-6267 · (224) 308-4478
Phone(228) 822-5919
Sole ProprietorNo
Enumeration DateJanuary 27, 2021
Last NPPES UpdateAugust 15, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2021
✔ NPI 1336730019 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.
5501 MARVIN SHIELDS BLVD, Gulfport, MS 39501
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Other Providers at the Same Location NPPES 15

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

MR. DAVID RAY BRANCH IDC
Specialist/Technologist, Other
5501 MARVIN SHIELDS BLVD
GULFPORT, MS 39501
Harrison County (228) 871-2810
JESSE LEE PALACIOS II
Military Health Care Provider (Independent Duty Corpsman)
5501 MARVIN SHIELDS BLVD
GULFPORT, MS 39501
Harrison County (228) 871-2810
DAVID CHARLES HALBERG
Military Health Care Provider (Independent Duty Corpsman)
5501 MARVIN SHIELDS BLVD
GULFPORT, MS 39501
Harrison County (228) 871-2810
MR. DAVID ALEXANDER GLENN JR. IDC
Military Health Care Provider (Independent Duty Corpsman)
5501 MARVIN SHIELDS BLVD
GULFPORT, MS 39501
Harrison County (228) 822-5061
DR. STEPHEN L MIKELL MD
Pediatrics
5501 MARVIN SHIELDS BLVD
GULFPORT, MS 39501
Harrison County (228) 871-4033
MR. CHARLES EDWARD GIVENS JR. IDC
Military Health Care Provider (Independent Duty Corpsman)
5501 MARVIN SHIELDS BLVD
GULFPORT, MS 39501
Harrison County (228) 871-2810
MS. JULIE BISHOP LCSW
Social Worker (Clinical)
5501 MARVIN SHIELDS BLVD
GULFPORT, MS 39501
Harrison County (228) 822-5067
MRS. TIFFANY JO ARCHER PA-C
Physician Assistant
5501 MARVIN SHIELDS BLVD
GULFPORT, MS 39501
Harrison County (228) 871-4033

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 Colton Wegrzyn's NPI number?

The NPI number for Colton Wegrzyn is 1336730019. It was assigned to this individual provider in the NPPES registry on January 27, 2021.

Where is Colton Wegrzyn located?

Colton Wegrzyn practices at 5501 Marvin Shields Blvd, Gulfport, MS 39501. The listed phone number is (228) 822-5919.

What is Colton Wegrzyn'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 Colton Wegrzyn was last updated on August 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.