JASON L BROCK IDC
NPI 1811122393
Military Health Care Provider - Independent Duty Corpsman in San Diego, CA

Q: What is Jason Brock's NPI number?

The NPI number for Jason Brock is 1811122393. It was assigned to this individual provider in the NPPES registry on May 27, 2009.

Q: What is Jason Brock's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

Q: When was this NPI record last updated?

The NPPES record for Jason Brock was last updated on May 27, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since May 27, 2009

2534 TRIDENT WAY, SAN DIEGO, CA 92155(619) 437-2544 Get Directions Write a Review

NPPES record last updated: May 27, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Jason L Brock Idc NPPES

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

JASON L BROCK IDC (NPI 1811122393) is an individual independent duty corpsman provider in San Diego, California, licensed in California (170101002X) and active in the NPI registry since May 2009.

NPPES Registry Identity

NPI1811122393

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameJASON L BROCKCredential: IDC

Location Address2534 TRIDENT WAYSan Diego, CA 92155-5493

Mailing Address2534 Trident WaySan Diego, CA 92155-5493 · (619) 437-2544

Phone(619) 437-2544

Sole ProprietorNo

Enumeration DateMay 27, 2009

✔ NPI 1811122393 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

License✔ Licensed in CA · 170101002X

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.

2534 TRIDENT WAY, San Diego, CA 92155

Open in Google Maps ↗

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.

JEROME RAMSEY

Military Health Care Provider (Independent Duty Corpsman)

2534 TRIDENT WAY
SAN DIEGO, CA 92155

San Diego County (619) 437-2544

JEREMY L. WEST IDC

Military Health Care Provider (Independent Duty Corpsman)

2534 TRIDENT WAY
SAN DIEGO, CA 92155

San Diego County (619) 437-2544

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 Jason Brock's NPI number?

The NPI number for Jason Brock is 1811122393. It was assigned to this individual provider in the NPPES registry on May 27, 2009.

Where is Jason Brock located?

Jason Brock practices at 2534 Trident Way, San Diego, CA 92155. The listed phone number is (619) 437-2544.

What is Jason Brock'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 Jason Brock was last updated on May 27, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.