1. Home
  2. Directory
  3. Arkansas
  4. Rogers
  5. Military Health Care Provider
  6. NPI Profile

JONATHAN DAVID BRUSHERD SOIDC
NPI 1548826308
Military Health Care Provider - Independent Duty Corpsman in Rogers, AR

Active since May 16, 2019
710 SUMMIT LOOP, ROGERS, AR 72756(479) 644-7775 Get Directions Write a Review

NPPES record last updated: May 16, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jonathan David Brusherd Soidc NPPES

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

JONATHAN DAVID BRUSHERD SOIDC (NPI 1548826308) is an individual independent duty corpsman provider in Rogers, Arkansas and active in the NPI registry since May 2019.

NPPES Registry Identity

NPI1548826308
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameJONATHAN DAVID BRUSHERDCredential: SOIDC
Location Address710 SUMMIT LOOPRogers, AR 72756-3040
Mailing Address304 Sea Hunter WaySneads Ferry, NC 28460-6012 · (479) 644-7775
Phone(479) 644-7775
Sole ProprietorNo
Enumeration DateMay 16, 2019
✔ NPI 1548826308 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.
710 SUMMIT LOOP, Rogers, AR 72756
Open in Google Maps ↗

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 Jonathan Brusherd's NPI number?

The NPI number for Jonathan Brusherd is 1548826308. It was assigned to this individual provider in the NPPES registry on May 16, 2019.

Where is Jonathan Brusherd located?

Jonathan Brusherd practices at 710 Summit Loop, Rogers, AR 72756. The listed phone number is (479) 644-7775.

What is Jonathan Brusherd'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 Jonathan Brusherd was last updated on May 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.