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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. MICHAEL GLEN PECK JR. IDC
NPI 1407898539
Military Health Care Provider - Independent Duty Corpsman in Pearl Harbor, HI

Active since June 12, 2006
822 CLARK ST, SUITE 400, PEARL HARBOR, HI 96860(808) 473-1094(808) 473-3109 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Michael Glen Peck Jr. Idc NPPES

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

MR. MICHAEL GLEN PECK JR. IDC (NPI 1407898539) is an individual independent duty corpsman provider in Pearl Harbor, Hawaii and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1407898539
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameMR. MICHAEL GLEN PECK JR.Credential: IDC
Location Address822 CLARK ST, SUITE 400Pearl Harbor, HI 96860-4652
Mailing Address86-227 Moelua StWaianae, HI 96792-4417 · (808) 696-4373
Phone(808) 473-1094
Fax(808) 473-3109
Sole ProprietorNo
Enumeration DateJune 12, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1407898539 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.
822 CLARK ST, Pearl Harbor, HI 96860
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Other Providers at the Same Location NPPES 4

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

MR. MICHAEL JAMES HAUGHEY
Military Health Care Provider (Independent Duty Corpsman)
822 CLARK ST, SUITE 400
PEARL HARBOR, HI 96860
Honolulu County (808) 473-2899
CRAIG RANDOLPH SOLEIM NAVY IDC
Military Health Care Provider (Independent Duty Corpsman)
822 CLARK ST, NAVAL SUBMARINE SUPPORT COMMAND MEDICAL
PEARL HARBOR, HI 96860
Honolulu County (808) 473-2899
DR. DIANA M OTTULICH MD
Military Health Care Provider
822 CLARK ST
PEARL HARBOR, HI 96860
Honolulu County (757) 836-5929
MR. DAVID TERRANCE REPKING IDC
Technician, Other
822 CLARK ST, USS HONOLULU SSN718 SUITE 400
PEARL HARBOR, HI 96860
Honolulu County (808) 474-1128

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 Michael Peck's NPI number?

The NPI number for Michael Peck is 1407898539. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Where is Michael Peck located?

Michael Peck practices at 822 Clark St Suite 400, Pearl Harbor, HI 96860. The listed phone number is (808) 473-1094.

What is Michael Peck'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 Michael Peck was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.