REGINALD GRANGER IDC
NPI 1780415141
Military Health Care Provider - Independent Duty Corpsman in Fpo, AP

Active since August 08, 2024
OPC 561, BOX 15, FPO, AP 96310(315) 255-8388 Get Directions Write a Review

NPPES record last updated: February 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 27, 2025, Oct 6, 2024, Aug 8, 2024 (3 updates tracked since 2024).

About Reginald Granger Idc NPPES

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

REGINALD GRANGER IDC (NPI 1780415141) is an individual independent duty corpsman provider in Fpo, AP and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1780415141
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameREGINALD GRANGERCredential: IDC
Location AddressOPC 561, BOX 15Fpo, AP 96310-9001
Mailing AddressOpc 561, Box 15Fpo, AP 96310-9001 · (315) 255-8388
Sole ProprietorYes
Enumeration DateAugust 8, 2024
Last NPPES UpdateFebruary 27, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2025
NPI 1780415141 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.

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 Reginald Granger's NPI number?

The NPI number for Reginald Granger is 1780415141. It was assigned to this individual provider in the NPPES registry on August 8, 2024.

Where is Reginald Granger located?

Reginald Granger practices at Opc 561 Box 15, Fpo, AP 96310. The listed phone number is (315) 255-8388.

What is Reginald Granger'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 Reginald Granger was last updated on February 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.