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JOHNATHON T BREWER IDC
NPI 1639793748
Military Health Care Provider - Independent Duty Corpsman in Jacksonville, NC

Active since June 04, 2020
100 WHITE ST, JACKSONVILLE, NC 28540(910) 449-5064 Get Directions Write a Review

NPPES record last updated: June 4, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Johnathon T Brewer Idc NPPES

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

JOHNATHON T BREWER IDC (NPI 1639793748) is an individual independent duty corpsman provider in Jacksonville, North Carolina and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1639793748
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameJOHNATHON T BREWERCredential: IDC
Location Address100 WHITE STJacksonville, NC 28540
Mailing Address100 White StJacksonville, NC 28540 · (910) 449-5064
Phone(910) 449-5064
Sole ProprietorNo
Enumeration DateJune 4, 2020
NPPES CertifiedJune 4, 2020
✔ NPI 1639793748 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.
100 WHITE ST, Jacksonville, NC 28540
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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.

DR. JOSHUA ALDRIDGE OD
Optometrist
100 WHITE ST
JACKSONVILLE, NC 28540
Onslow County (910) 450-2960

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 Johnathon Brewer's NPI number?

The NPI number for Johnathon Brewer is 1639793748. It was assigned to this individual provider in the NPPES registry on June 4, 2020.

Where is Johnathon Brewer located?

Johnathon Brewer practices at 100 White St, Jacksonville, NC 28540. The listed phone number is (910) 449-5064.

What is Johnathon Brewer'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 Johnathon Brewer was last updated on June 4, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.