TERENCE A GRADEN
NPI 1679856850
Military Health Care Provider - Independent Duty Medical Technicians in Lackland, Afb, TX

Active since September 23, 2011
2200 BERGQUIST DR. SUITE 1, WILFORD HALL, LACKLAND, AFB, TX 78236(210) 887-2123 Get Directions Write a Review

NPPES record last updated: September 23, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Terence A Graden NPPES

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

TERENCE A GRADEN (NPI 1679856850) is an individual independent duty medical technicians provider in Lackland, Afb, Texas and active in the NPI registry since September 2011.

NPPES Registry Identity

NPI1679856850
Entity TypeIndividualMale
Primary Taxonomy1710I1003X
Provider Legal NameTERENCE A GRADEN
Location Address2200 BERGQUIST DR. SUITE 1, WILFORD HALLLackland, Afb, TX 78236
Mailing Address2200 Bergquist Dr. Suite 1, Wilford HallLackland, Afb, TX 78236 · (210) 887-2123
Sole ProprietorNo
Enumeration DateSeptember 23, 2011
NPI 1679856850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code1710I1003X
Definition
An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians.
2200 BERGQUIST DR. SUITE 1, Lackland, Afb, TX 78236

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.

Technician/Technologist
2200 BERGQUIST DR. SUITE 1, 159TH MEDICAL WING
LACKLAND AFB, TX 78236
Pharmacist
2200 BERGQUIST DR. SUITE 1, LACKLAND AIR FORCE BASE
SAN ANTONIO, TX 78236

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 Terence Graden's NPI number?

The NPI number for Terence Graden is 1679856850. It was assigned to this individual provider in the NPPES registry on September 23, 2011.

Where is Terence Graden located?

Terence Graden practices at 2200 Bergquist Dr. Suite 1 Wilford Hall, Lackland, Afb, TX 78236. The listed phone number is (210) 887-2123.

What is Terence Graden's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Medical Technicians, with taxonomy code 1710I1003X.

When was this NPI record last updated?

The NPPES record for Terence Graden was last updated on September 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.