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BRANDON M BERRY IDC
NPI 1689935850
Military Health Care Provider - Independent Duty Corpsman in San Diego, CA

Active since June 05, 2012
11123 PEGASUS AVE, SAN DIEGO, CA 92126(714) 403-3604 Get Directions Write a Review

NPPES record last updated: June 5, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brandon M Berry Idc NPPES

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

BRANDON M BERRY IDC (NPI 1689935850) is an individual independent duty corpsman provider in San Diego, California and active in the NPI registry since June 2012.

NPPES Registry Identity

NPI1689935850
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameBRANDON M BERRYCredential: IDC
Location Address11123 PEGASUS AVESan Diego, CA 92126-4717
Mailing Address11123 Pegasus AveSan Diego, CA 92126-4717 · (714) 403-3604
Phone(714) 403-3604
Sole ProprietorYes
Enumeration DateJune 5, 2012
✔ NPI 1689935850 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.
11123 PEGASUS AVE, San Diego, CA 92126
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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 Brandon Berry's NPI number?

The NPI number for Brandon Berry is 1689935850. It was assigned to this individual provider in the NPPES registry on June 5, 2012.

Where is Brandon Berry located?

Brandon Berry practices at 11123 Pegasus Ave, San Diego, CA 92126. The listed phone number is (714) 403-3604.

What is Brandon Berry'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 Brandon Berry was last updated on June 5, 2012. 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.