MR. JEFFRIE NEIL MAYBERRY IDMT
NPI 1407086473
Military Health Care Provider - Independent Duty Medical Technicians in Mountain Home A F B, ID

Active since July 23, 2009
90 HOPE DR BLDG 6000, MOUNTAIN HOME A F B, ID 83648(208) 828-7100 Get Directions Write a Review

NPPES record last updated: July 23, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Jeffrie Neil Mayberry Idmt NPPES

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

MR. JEFFRIE NEIL MAYBERRY IDMT (NPI 1407086473) is an individual independent duty medical technicians provider in Mountain Home A F B, Idaho and active in the NPI registry since July 2009.

NPPES Registry Identity

NPI1407086473
Entity TypeIndividualMale
Primary Taxonomy1710I1003X
Provider Legal NameMR. JEFFRIE NEIL MAYBERRYCredential: IDMT
Location Address90 HOPE DR BLDG 6000Mountain Home A F B, ID 83648-1062
Mailing Address90 Hope Dr Bldg 6000Mountain Home A F B, ID 83648-1062 · (208) 828-7100
Sole ProprietorNo
Enumeration DateJuly 23, 2009
NPI 1407086473 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.
90 HOPE DR BLDG 6000, Mountain Home A F B, ID 83648

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.

Social Worker (Clinical)
90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB, ID 83648
Dentist
90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB, ID 83648
Military Health Care Provider
90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB, ID 83648
Dentist
90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB, ID 83648
Nurse Practitioner (Family)
90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB, ID 83648
Psychologist (Prescribing (Medical))
90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB, ID 83648
General Practice
90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB, ID 83648
Pharmacist
90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB, ID 83648

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 Jeffrie Mayberry's NPI number?

The NPI number for Jeffrie Mayberry is 1407086473. It was assigned to this individual provider in the NPPES registry on July 23, 2009.

Where is Jeffrie Mayberry located?

Jeffrie Mayberry practices at 90 Hope Dr Bldg 6000, Mountain Home A F B, ID 83648. The listed phone number is (208) 828-7100.

What is Jeffrie Mayberry'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 Jeffrie Mayberry was last updated on July 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.