MR. TAVIS SCOTT BUCKINGHAM IDC
NPI 1659587871
Military Health Care Provider - Independent Duty Corpsman in San Diego, CA

Q: What is Tavis Buckingham's NPI number?

The NPI number for Tavis Buckingham is 1659587871. It was assigned to this individual provider in the NPPES registry on May 15, 2007.

Q: What is Tavis Buckingham's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

Q: When was this NPI record last updated?

The NPPES record for Tavis Buckingham was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since May 15, 2007

USS NEW ORLEANS (LPD 18) FPO AP 96673-1701, COMMANDING OFFICER, SAN DIEGO, CA 92123(619) 849-1480 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mr. Tavis Scott Buckingham Idc NPPES

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

MR. TAVIS SCOTT BUCKINGHAM IDC (NPI 1659587871) is an individual independent duty corpsman provider in San Diego, California and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1659587871

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameMR. TAVIS SCOTT BUCKINGHAMCredential: IDC

Location AddressUSS NEW ORLEANS (LPD 18) FPO AP 96673-1701, COMMANDING OFFICERSan Diego, CA 92123

Mailing Address4837 Shields StSan Diego, CA 92124-2930 · (858) 822-8904

Phone(619) 849-1480

Sole ProprietorYes

Enumeration DateMay 15, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1659587871 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.

USS NEW ORLEANS (LPD 18) FPO AP 96673-1701, San Diego, CA 92123

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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 Tavis Buckingham's NPI number?

The NPI number for Tavis Buckingham is 1659587871. It was assigned to this individual provider in the NPPES registry on May 15, 2007.

Where is Tavis Buckingham located?

Tavis Buckingham practices at Uss New Orleans (lpd 18) Fpo Ap 96673-1701 Commanding Officer, San Diego, CA 92123. The listed phone number is (619) 849-1480.

What is Tavis Buckingham'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 Tavis Buckingham was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.