EDWARD BRENT LENNON USN IDC
NPI 1366492969
Military Health Care Provider - Independent Duty Medical Technicians in Camp Lejeune, NC

Active since May 12, 2006
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547(910) 451-1053 Get Directions Write a Review

NPPES record last updated: March 23, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Edward Brent Lennon Usn Idc NPPES

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

EDWARD BRENT LENNON USN IDC (NPI 1366492969) is an individual independent duty medical technicians provider in Camp Lejeune, North Carolina and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1366492969
Entity TypeIndividualMale
Primary Taxonomy1710I1003X
Provider Legal NameEDWARD BRENT LENNONCredential: USN IDC
Location Address100 BREWSTER BLVDCamp Lejeune, NC 28547-2538
Mailing Address1141 Lakeview AveRichlands, NC 28574-8235 · (910) 324-1324
Sole ProprietorNo
Enumeration DateMay 12, 2006
Last NPPES UpdateMarch 23, 2017
NPI 1366492969 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.
100 BREWSTER BLVD, Camp Lejeune, NC 28547

Other Providers at the Same Location NPPES 20

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

Emergency Medicine
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547
Military Health Care Provider (Independent Duty Corpsman)
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547
Physical Therapist
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547
Nurse Anesthetist, Certified Registered
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547
Surgery
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547
Nurse Practitioner (Adult Health)
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547
Student in an Organized Health Care Education/Training Program
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547
Emergency Medicine
100 BREWSTER BLVD, NAVAL HOSPITAL
CAMP LEJEUNE, NC 28547

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 Edward Lennon's NPI number?

The NPI number for Edward Lennon is 1366492969. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Where is Edward Lennon located?

Edward Lennon practices at 100 Brewster Blvd, Camp Lejeune, NC 28547. The listed phone number is (910) 451-1053.

What is Edward Lennon'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 Edward Lennon was last updated on March 23, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.