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RYAN ANDREW HIGGINBOTHAM
NPI 1497559892
Military Health Care Provider - Independent Duty Corpsman in Camp Pendleton, CA

Active since April 03, 2025
PO BOX 555584, CAMP PENDLETON, CA 92055(760) 725-8912 Get Directions Write a Review

NPPES record last updated: April 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ryan Andrew Higginbotham NPPES

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

RYAN ANDREW HIGGINBOTHAM (NPI 1497559892) is an individual independent duty corpsman provider in Camp Pendleton, California and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1497559892
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameRYAN ANDREW HIGGINBOTHAM
Location AddressPO BOX 555584Camp Pendleton, CA 92055-5584
Mailing AddressPo Box 555584Camp Pendleton, CA 92055-5584 · (760) 725-8912
Phone(760) 725-8912
Sole ProprietorYes
Enumeration DateApril 3, 2025
NPPES CertifiedApril 3, 2025
✔ NPI 1497559892 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.
PO BOX 555584, Camp Pendleton, CA 92055
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

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

DEVIN MATHEU DEVEREAUX
Military Health Care Provider (Independent Duty Corpsman)
PO BOX 555584
CAMP PENDLETON, CA 92055
San Diego County (760) 725-8912
QUYEN PHAM
Military Health Care Provider (Independent Duty Corpsman)
PO BOX 555584
CAMP PENDLETON, CA 92055
San Diego County (760) 725-8912
WARREN GORMLEY
Military Health Care Provider (Independent Duty Corpsman)
PO BOX 555584
CAMP PENDLETON, CA 92055
San Diego County (760) 725-8912
MARK SEUNG MIN OH SOIDC
Military Health Care Provider (Independent Duty Corpsman)
PO BOX 555584
CAMP PENDLETON, CA 92055
San Diego County (760) 725-8912
YUANKUN XIA ATP
Military Health Care Provider (Independent Duty Corpsman)
PO BOX 555584
CAMP PENDLETON, CA 92055
San Diego County (760) 725-8912
ELLIOT MCDANIEL FMF RECON IDC
Military Health Care Provider (Independent Duty Corpsman)
PO BOX 555584
CAMP PENDLETON, CA 92055
San Diego County (760) 725-8912
KYLE MICHAEL PACHECO FMF RECON IDC
Military Health Care Provider (Independent Duty Corpsman)
PO BOX 555584
CAMP PENDLETON, CA 92055
San Diego County (760) 725-8912
ZACHERY T SIMPSON IDC
Military Health Care Provider (Independent Duty Corpsman)
PO BOX 555584
CAMP PENDLETON, CA 92055
San Diego County (760) 725-8912

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 Ryan Higginbotham's NPI number?

The NPI number for Ryan Higginbotham is 1497559892. It was assigned to this individual provider in the NPPES registry on April 3, 2025.

Where is Ryan Higginbotham located?

Ryan Higginbotham practices at PO Box 555584, Camp Pendleton, CA 92055. The listed phone number is (760) 725-8912.

What is Ryan Higginbotham'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 Ryan Higginbotham was last updated on April 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.