1. Home
  2. Directory
  3. North Carolina
  4. Camp Lejeune
  5. Military Health Care Provider
  6. NPI Profile

BRADLEY SHANE CARROLL
NPI 1619747250
Military Health Care Provider - Independent Duty Corpsman in Camp Lejeune, NC

Active since January 04, 2024
2D RECONNAISSANCE BN, CAMP LEJEUNE, NC 28542(828) 638-1011 Get Directions Write a Review

NPPES record last updated: January 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bradley Shane Carroll NPPES

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

BRADLEY SHANE CARROLL (NPI 1619747250) is an individual independent duty corpsman provider in Camp Lejeune, North Carolina and active in the NPI registry since January 2024.

NPPES Registry Identity

NPI1619747250
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameBRADLEY SHANE CARROLL
Location Address2D RECONNAISSANCE BNCamp Lejeune, NC 28542
Mailing Address2d Reconnaissance Bn, Psc Box 20138Fpo, AA 28542
Phone(828) 638-1011
Sole ProprietorNo
Enumeration DateJanuary 4, 2024
NPPES CertifiedJanuary 3, 2024
✔ NPI 1619747250 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.
2D RECONNAISSANCE BN, Camp Lejeune, NC 28542
Open in Google Maps ↗

Other Providers at the Same Location NPPES 3

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

ABDALLA ABOUHAIB SO-ATP
Military Health Care Provider (Independent Duty Corpsman)
2D RECONNAISSANCE BN, PCS 20138
CAMP LEJEUNE, NC 28542
Onslow County (910) 440-7703
TIMOTHY BRENDAN MCKINNEY
Military Health Care Provider (Independent Duty Corpsman)
2D RECONNAISSANCE BN
CAMP LEJEUNE, NC 28542
Onslow County (617) 780-2477
RYAN SCOTT VARVEL SO-IDC
Military Health Care Provider (Independent Duty Corpsman)
2D RECONNAISSANCE BN
CAMP LEJEUNE PSC BOX 20138, NC 28542
Onslow County (336) 858-3985

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 Bradley Carroll's NPI number?

The NPI number for Bradley Carroll is 1619747250. It was assigned to this individual provider in the NPPES registry on January 4, 2024.

Where is Bradley Carroll located?

Bradley Carroll practices at 2D Reconnaissance Bn, Camp Lejeune, NC 28542. The listed phone number is (828) 638-1011.

What is Bradley Carroll'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 Bradley Carroll was last updated on January 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.