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GEORGIY O BONDARCHUK DIVE IDC
NPI 1376176594
Military Health Care Provider - Independent Duty Corpsman in Everett, WA

Active since February 17, 2020
2000 W MARINE VIEW DR BLDG 2202, EVERETT, WA 98207(425) 304-5504 Get Directions Write a Review

NPPES record last updated: May 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 26, 2026, Feb 17, 2020 (2 updates tracked since 2020).

About Georgiy O Bondarchuk Dive Idc NPPES

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

GEORGIY O BONDARCHUK DIVE IDC (NPI 1376176594) is an individual independent duty corpsman provider in Everett, Washington and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1376176594
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameGEORGIY O BONDARCHUKCredential: DIVE IDC
Location Address2000 W MARINE VIEW DR BLDG 2202Everett, WA 98207-5000
Mailing Address18151 68th Ave Ne Apt 317Kenmore, WA 98028-2834 · (425) 304-5504
Phone(425) 304-5504
Sole ProprietorNo
Enumeration DateFebruary 17, 2020
Last NPPES UpdateMay 26, 20262 updates tracked since enumeration
NPPES CertifiedMay 26, 2026
✔ NPI 1376176594 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.
2000 W MARINE VIEW DR BLDG 2202, Everett, WA 98207
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Other Identifiers 1

Other1801350442Nppes

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 Georgiy Bondarchuk's NPI number?

The NPI number for Georgiy Bondarchuk is 1376176594. It was assigned to this individual provider in the NPPES registry on February 17, 2020.

Where is Georgiy Bondarchuk located?

Georgiy Bondarchuk practices at 2000 W Marine View Dr Bldg 2202, Everett, WA 98207. The listed phone number is (425) 304-5504.

What is Georgiy Bondarchuk'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 Georgiy Bondarchuk was last updated on May 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.