JIMBELL GRAY IDMT
NPI 1346711579
Military Health Care Provider - Independent Duty Medical Technicians in Tyndall Afb, FL

Active since December 16, 2018
325 MDG, 340 MAGNOLIA CIRCLE, TYNDALL AFB, FL 32403(314) 226-8010 Get Directions Write a Review

NPPES record last updated: January 20, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 20, 2021, Dec 16, 2018 (2 updates tracked since 2018).

About Jimbell Gray Idmt NPPES

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

JIMBELL GRAY IDMT (NPI 1346711579) is an individual independent duty medical technicians provider in Tyndall Afb, Florida and active in the NPI registry since December 2018.

NPPES Registry Identity

NPI1346711579
Entity TypeIndividualFemale
Primary Taxonomy1710I1003X
Provider Legal NameJIMBELL GRAYCredential: IDMT
Location Address325 MDG, 340 MAGNOLIA CIRCLETyndall Afb, FL 32403
Mailing Address325 Mdg, 340 Magnolia CircleTyndall Afb, FL 32403
Sole ProprietorNo
Enumeration DateDecember 16, 2018
Last NPPES UpdateJanuary 20, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 4, 2021
NPI 1346711579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code1710I1003X
Definition
An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians.
325 MDG, 340 MAGNOLIA CIRCLE, Tyndall Afb, FL 32403

Other Providers at the Same Location NPPES 9

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

Psychiatry & Neurology (Psychiatry)
325 MDG, 340 MAGNOLIA CIRCLE
TYNDALL AFB, FL 32403
Social Worker
325 MDG, 340 MAGNOLIA CIRCLE
TYNDALL AFB, FL 32403
Social Worker (Clinical)
325 MDG, 340 MAGNOLIA CIRCLE
TYNDALL AFB, FL 32403
Pharmacist
325 MDG, 340 MAGNOLIA CIRCLE
TYNDALL AFB, FL 32403
Social Worker (Clinical)
325 MDG, 340 MAGNOLIA CIRCLE
TYNDALL AFB, FL 32403
Social Worker (Clinical)
325 MDG, 340 MAGNOLIA CIRCLE
TYNDALL AFB, FL 32403
Military Health Care Provider (Independent Duty Medical Technicians)
325 MDG, 340 MAGNOLIA CIRCLE
TYNDALL AFB, FL 32403
Psychologist (Clinical)
325 MDG, 340 MAGNOLIA CIRCLE
TYNDALL AFB, FL 32403

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 Jimbell Gray's NPI number?

The NPI number for Jimbell Gray is 1346711579. It was assigned to this individual provider in the NPPES registry on December 16, 2018.

Where is Jimbell Gray located?

Jimbell Gray practices at 325 Mdg, 340 Magnolia Circle, Tyndall Afb, FL 32403. The listed phone number is (314) 226-8010.

What is Jimbell Gray's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Medical Technicians, with taxonomy code 1710I1003X.

When was this NPI record last updated?

The NPPES record for Jimbell Gray was last updated on January 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.