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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. JERRY K ROSHELL
NPI 1629410923
Military Health Care Provider - Independent Duty Corpsman in Goose Creek, SC

Active since July 27, 2013
110 NNPTC CIR BLDG 2418, GOOSE CREEK, SC 29445(843) 794-6701 Get Directions Write a Review

NPPES record last updated: August 27, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mr. Jerry K Roshell NPPES

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

MR. JERRY K ROSHELL (NPI 1629410923) is an individual independent duty corpsman provider in Goose Creek, South Carolina and active in the NPI registry since July 2013.

NPPES Registry Identity

NPI1629410923
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameMR. JERRY K ROSHELL
Location Address110 NNPTC CIR BLDG 2418Goose Creek, SC 29445-6314
Mailing Address110 Nnptc Cir Bldg 2418Goose Creek, SC 29445-6314 · (843) 794-6701
Phone(843) 794-6701
Sole ProprietorNo
Enumeration DateJuly 27, 2013
Last NPPES UpdateAugust 27, 2026
NPPES CertifiedAugust 27, 2026
✔ NPI 1629410923 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.
110 NNPTC CIR BLDG 2418, Goose Creek, SC 29445
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Other Providers at the Same Location NPPES 2

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

MRS. AMANDA B MCFANN NP
Nurse Practitioner (Family)
110 NNPTC CIR BLDG 2418
GOOSE CREEK, SC 29445
Berkeley County (843) 577-5011
DR. PETER H LEWIS PSYD, MSCP
Psychologist (Clinical)
110 NNPTC CIR BLDG 2418
GOOSE CREEK, SC 29445
Berkeley County (843) 794-6450

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 Jerry Roshell's NPI number?

The NPI number for Jerry Roshell is 1629410923. It was assigned to this individual provider in the NPPES registry on July 27, 2013.

Where is Jerry Roshell located?

Jerry Roshell practices at 110 Nnptc Cir Bldg 2418, Goose Creek, SC 29445. The listed phone number is (843) 794-6701.

What is Jerry Roshell'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 Jerry Roshell was last updated on August 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.