1. Home
  2. Directory
  3. Virginia
  4. Portsmouth
  5. Military Health Care Provider
  6. NPI Profile

GEORGE WENDELL GRAHAM IDC
NPI 1407113889
Military Health Care Provider - Independent Duty Corpsman in Portsmouth, VA

Active since April 23, 2012
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708(757) 953-1305 Get Directions Write a Review

NPPES record last updated: April 23, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About George Wendell Graham Idc NPPES

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

GEORGE WENDELL GRAHAM IDC (NPI 1407113889) is an individual independent duty corpsman provider in Portsmouth, Virginia and active in the NPI registry since April 2012.

NPPES Registry Identity

NPI1407113889
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameGEORGE WENDELL GRAHAMCredential: IDC
Location Address620 JOHN PAUL JONES CIRPortsmouth, VA 23708-2111
Mailing Address1840 Cove RdVirginia Beach, VA 23459-8910 · (757) 763-5952
Phone(757) 953-1305
Sole ProprietorYes
Enumeration DateApril 23, 2012
✔ NPI 1407113889 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.
620 JOHN PAUL JONES CIR, Portsmouth, VA 23708
Open in Google Maps ↗

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.

MEREDITH TVERDOSI CRNA
Nurse Anesthetist, Certified Registered
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-3238
ERIC FRANCIS SULAVA
Emergency Medicine
620 JOHN PAUL JONES CIR, NAVAL MEDICAL CENTER PORTSMOUTH
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-0669
MRS. TIFFNY KUPER RHH
Dental Hygienist
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-2711
DR. LAKEISHA GOODE PHARMD
Pharmacist
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-7462
JASMINE WOOD MD
Surgery
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-1895
NICHOLAS FANSELOW
General Practice
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-0669
DR. DAVID JESSEN MD
Military Health Care Provider
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-2518
MRS. WILLAR MAE BAUM L.C.S.W.
Social Worker (Clinical)
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-9767

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 George Graham's NPI number?

The NPI number for George Graham is 1407113889. It was assigned to this individual provider in the NPPES registry on April 23, 2012.

Where is George Graham located?

George Graham practices at 620 John Paul Jones Cir, Portsmouth, VA 23708. The listed phone number is (757) 953-1305.

What is George Graham'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 George Graham was last updated on April 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.