MR. RANDALL LEE CONNOLLY IDC
NPI 1811243827
Military Health Care Provider - Independent Duty Corpsman in Fpo, AP

Q: What is Randall Connolly's NPI number?

The NPI number for Randall Connolly is 1811243827. It was assigned to this individual provider in the NPPES registry on July 27, 2012.

Q: What is Randall Connolly'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 Randall Connolly was last updated on July 27, 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.

Active since July 27, 2012

NMCB FOUR UNIT 25284, FPO, FPO, AP 96601(805) 982-6325 Get Directions Write a Review

NPPES record last updated: July 27, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mr. Randall Lee Connolly Idc NPPES

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

MR. RANDALL LEE CONNOLLY IDC (NPI 1811243827) is an individual independent duty corpsman provider in Fpo, AP and active in the NPI registry since July 2012.

NPPES Registry Identity

NPI1811243827

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameMR. RANDALL LEE CONNOLLYCredential: IDC

Location AddressNMCB FOUR UNIT 25284, FPOFpo, AP 96601-4941

Mailing Address1072 B Saipan CirclePort Hueneme, CA 93041 · (808) 722-4853

Phone(805) 982-6325

Sole ProprietorNo

Enumeration DateJuly 27, 2012

✔ NPI 1811243827 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 Randall Connolly's NPI number?

The NPI number for Randall Connolly is 1811243827. It was assigned to this individual provider in the NPPES registry on July 27, 2012.

Where is Randall Connolly located?

Randall Connolly practices at Nmcb Four Unit 25284 Fpo, Fpo, AP 96601. The listed phone number is (805) 982-6325.

What is Randall Connolly'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 Randall Connolly was last updated on July 27, 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.