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GARY A BYRUM IDC
NPI 1508161894
Military Health Care Provider - Independent Duty Corpsman in Indian Head, MD

Active since January 18, 2011
2008 STUMP NECK RD, NAVAL EXPLOSIVE ORDNANCE DISPOSAL TECHNOLOGY DIVISION, INDIAN HEAD, MD 20640(757) 375-2160 Get Directions Write a Review

NPPES record last updated: January 18, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gary A Byrum Idc NPPES

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

GARY A BYRUM IDC (NPI 1508161894) is an individual independent duty corpsman provider in Indian Head, Maryland and active in the NPI registry since January 2011.

NPPES Registry Identity

NPI1508161894
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameGARY A BYRUMCredential: IDC
Location Address2008 STUMP NECK RD, NAVAL EXPLOSIVE ORDNANCE DISPOSAL TECHNOLOGY DIVISIONIndian Head, MD 20640-5070
Mailing Address2008 Stump Neck Rd, NaveodtecdivIndian Head, MD 20640-5070 · (757) 375-2160
Phone(757) 375-2160
Sole ProprietorYes
Enumeration DateJanuary 18, 2011
✔ NPI 1508161894 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.
2008 STUMP NECK RD, Indian Head, MD 20640
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Other Providers at the Same Location NPPES

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

MR. DEAN NATALE DEL FAVERO IDC
Military Health Care Provider (Independent Duty Corpsman)
2008 STUMP NECK RD
INDIAN HEAD, MD 20640
Charles County (301) 744-6875

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 Gary Byrum's NPI number?

The NPI number for Gary Byrum is 1508161894. It was assigned to this individual provider in the NPPES registry on January 18, 2011.

Where is Gary Byrum located?

Gary Byrum practices at 2008 Stump Neck Rd Naval Explosive Ordnance Disposal Technology Division, Indian Head, MD 20640. The listed phone number is (757) 375-2160.

What is Gary Byrum'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 Gary Byrum was last updated on January 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.