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MR. ANDREW D. BICKHAM IDC
NPI 1396061933
Military Health Care Provider - Independent Duty Corpsman in Groton, CT

Active since April 07, 2010
159 TROUT AVENUE, GROTON, CT 06340(860) 694-2876 Get Directions Write a Review

NPPES record last updated: April 7, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Andrew D. Bickham Idc NPPES

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

MR. ANDREW D. BICKHAM IDC (NPI 1396061933) is an individual independent duty corpsman provider in Groton, Connecticut, licensed in Virginia (T69-52-2586) and active in the NPI registry since April 2010.

NPPES Registry Identity

NPI1396061933
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameMR. ANDREW D. BICKHAMCredential: IDC
Location Address159 TROUT AVENUEGroton, CT 06340
Mailing Address9 Cormorant RdGroton, CT 06340-3110 · (703) 258-9239
Phone(860) 694-2876
Sole ProprietorNo
Enumeration DateApril 7, 2010
✔ NPI 1396061933 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
License✔ Licensed in VA · T69-52-2586
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.
159 TROUT AVENUE, Groton, CT 06340
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Other Providers at the Same Location NPPES 2

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

IVAN LEAVITT BROWN
Military Health Care Provider (Independent Duty Corpsman)
159 TROUT AVENUE, SUBASE NEW LONDON
GROTON, CT 06340
Southeastern Connecticut Planning Region (847) 254-3904
MR. BENJAMIN JOHN GROVER IDC
Military Health Care Provider (Independent Duty Corpsman)
159 TROUT AVENUE
GROTON, CT 06340
Southeastern Connecticut Planning Region (860) 694-2876

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 Andrew Bickham's NPI number?

The NPI number for Andrew Bickham is 1396061933. It was assigned to this individual provider in the NPPES registry on April 7, 2010.

Where is Andrew Bickham located?

Andrew Bickham practices at 159 Trout Avenue, Groton, CT 06340. The listed phone number is (860) 694-2876.

What is Andrew Bickham'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 Andrew Bickham was last updated on April 7, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.