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MR. RICHARD A ROQUE IDC
NPI 1760691810
Military Health Care Provider - Independent Duty Corpsman in Gulfport, MS

Active since May 22, 2007
5503 MARVIN SHIELDS BLVD, SEA BEE BASE CLINIC, GULFPORT, MS 39501(228) 871-2810 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Richard A Roque Idc NPPES

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

MR. RICHARD A ROQUE IDC (NPI 1760691810) is an individual independent duty corpsman provider in Gulfport, Mississippi and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1760691810
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameMR. RICHARD A ROQUECredential: IDC
Location Address5503 MARVIN SHIELDS BLVD, SEA BEE BASE CLINICGulfport, MS 39501
Mailing AddressNmcb 7 Medical Department, Unit 60252Fpo, AA 34099 · (228) 223-5879
Phone(228) 871-2810
Sole ProprietorNo
Enumeration DateMay 22, 2007
Last NPPES UpdateApril 20, 2008
✔ NPI 1760691810 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.
5503 MARVIN SHIELDS BLVD, Gulfport, MS 39501
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Other Providers at the Same Location NPPES 3

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

MR. THOMAS E GILHAM II IDC
Military Health Care Provider (Independent Duty Corpsman)
5503 MARVIN SHIELDS BLVD
GULFPORT, MS 39501
Harrison County (228) 871-2810
CARYL JEAN MOULDER RN
Registered Nurse (Case Management)
5503 MARVIN SHIELDS BLVD
GULFPORT, MS 39501
Harrison County (228) 326-3031
MR. THOMAS JEFFREY RUFFNER SFIDC
Military Health Care Provider (Independent Duty Corpsman)
5503 MARVIN SHIELDS BLVD, NHBC GULFPORT
GULFPORT, MS 39501
Harrison County (228) 871-2341

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 Richard Roque's NPI number?

The NPI number for Richard Roque is 1760691810. It was assigned to this individual provider in the NPPES registry on May 22, 2007.

Where is Richard Roque located?

Richard Roque practices at 5503 Marvin Shields Blvd Sea Bee Base Clinic, Gulfport, MS 39501. The listed phone number is (228) 871-2810.

What is Richard Roque'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 Richard Roque was last updated on April 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.