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MR. PETER WYSOCKI JR. IDC
NPI 1801446836
Military Health Care Provider - Independent Duty Corpsman in Camp Lejeune, NC

Active since September 11, 2019
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547(910) 450-4357 Get Directions Write a Review

NPPES record last updated: June 24, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 24, 2025, Sep 11, 2019 (2 updates tracked since 2019).

About Mr. Peter Wysocki Jr. Idc NPPES

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

MR. PETER WYSOCKI JR. IDC (NPI 1801446836) is an individual independent duty corpsman provider in Camp Lejeune, North Carolina and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1801446836
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameMR. PETER WYSOCKI JR.Credential: IDC
Location Address100 BREWSTER BLVDCamp Lejeune, NC 28547-2575
Mailing Address100 Brewster BlvdCamp Lejeune, NC 28547-2575 · (910) 450-4357
Phone(910) 450-4357
Sole ProprietorNo
Enumeration DateSeptember 11, 2019
Last NPPES UpdateJune 24, 20252 updates tracked since enumeration
NPPES CertifiedJune 24, 2025
✔ NPI 1801446836 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.
100 BREWSTER BLVD, Camp Lejeune, NC 28547
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Other Providers at the Same Location NPPES 20

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

MR. JUSTIN THOMAS DAUGHTRY D.O.
Emergency Medicine
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547
Onslow County (910) 450-4841
MR. JASON HUSON GIECKO
Military Health Care Provider (Independent Duty Corpsman)
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547
Onslow County (910) 451-5125
MRS. HOLLY F CARTER LPT
Physical Therapist
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547
Onslow County (910) 449-2538
JEREMY MOORE CRNA
Nurse Anesthetist, Certified Registered
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547
Onslow County (910) 450-4357
DANIELLE BERNAL MD
Surgery
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547
Onslow County (910) 450-4860
ZAINAB AL CHALABI SAVARD APRN
Nurse Practitioner (Adult Health)
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547
Onslow County (910) 449-2779
SAMANTHA ELIZABETH KING MD
Student in an Organized Health Care Education/Training Program
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547
Onslow County (910) 450-4408
MATTHEW PATRICK SULLIVAN MD
Emergency Medicine
100 BREWSTER BLVD, NAVAL HOSPITAL
CAMP LEJEUNE, NC 28547
Onslow County (910) 450-4159

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 Peter Wysocki's NPI number?

The NPI number for Peter Wysocki is 1801446836. It was assigned to this individual provider in the NPPES registry on September 11, 2019.

Where is Peter Wysocki located?

Peter Wysocki practices at 100 Brewster Blvd, Camp Lejeune, NC 28547. The listed phone number is (910) 450-4357.

What is Peter Wysocki'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 Peter Wysocki was last updated on June 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.