BRYAN JACOB WILLBANKS IDC
NPI 1366884686
Military Health Care Provider - Independent Duty Corpsman in San Diego, CA
NPI Status: Active since July 28, 2013
Contact Information
3155 SALMON ST
SAN DIEGO, CA
ZIP 92124
Phone: (843) 475-5341
- Individual
- Male
- Military Health Care Provider
- Independent Duty Corpsman
About BRYAN WILLBANKS
This page provides the complete NPI Profile along with additional information for Bryan Willbanks, a provider established in San Diego, California with a medical specialization in Military Health Care Provider, focusing in independent duty corpsman . The healthcare provider is registered in the NPI registry with number 1366884686 assigned on July 2013. The practitioner's primary taxonomy code is 1710I1002X. The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1366884686
- Provider Name
- BRYAN JACOB WILLBANKS IDC
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3155 SALMON ST SAN DIEGO, CA 92124
- Location Phone
- (843) 475-5341
- Mailing Address
- 3155 SALMON ST SAN DIEGO, CA 92124
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-28-2013
- Last Update Date
- 05-14-2025
- Code Navigator
Location Map
Secondary Locations
- 4200 Spruce Cape Rd
Kodiak, AK 99615
(907) 487-5193
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Military Health Care Provider Independent Duty Corpsman
- Taxonomy Code
- 1710I1002X
- Type
- Other Service Providers
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 146D00000X | Emergency Medical Service Providers | Personal Emergency Response Attendant | |
| 2 | 171000000X | Other Service Providers | Military Health Care Provider | |
| 3 | 174H00000X | Other Service Providers | Health Educator | |
| 4 | 246RP1900X | Technologists, Technicians & Other Technical Service Providers | Technician, Pathology | |
| 5 | 247000000X | Technologists, Technicians & Other Technical Service Providers | Technician, Health Information |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1366884686, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 74. The final step is to find the difference between that total and the next multiple of ten (80 - 74 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 74 is 80. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366884686, enumerated as an "individual" on July 28, 2013.
The provider is located at 3155 SALMON ST SAN DIEGO, CA 92124 and the phone number is (843) 475-5341.
Military Health Care Provider with taxonomy code 1710I1002X and a focus in Independent Duty Corpsman.
