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TIMOTHY M HANLEY IDC
NPI 1821317017
Military Health Care Provider - Independent Duty Corpsman in Camp Lejeune, NC

Active since May 27, 2010
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547(910) 451-3435 Get Directions Write a Review

NPPES record last updated: May 27, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Timothy M Hanley Idc NPPES

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

TIMOTHY M HANLEY IDC (NPI 1821317017) is an individual independent duty corpsman provider in Camp Lejeune, North Carolina and active in the NPI registry since May 2010.

NPPES Registry Identity

NPI1821317017
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameTIMOTHY M HANLEYCredential: IDC
Location Address100 BREWSTER BLVDCamp Lejeune, NC 28547-2538
Mailing Address107 Glenburney DrJacksonville, NC 28540-4242 · (910) 451-3435
Phone(910) 451-3435
Sole ProprietorNo
Enumeration DateMay 27, 2010
✔ NPI 1821317017 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.

PIERCE OVERMAN PAC
Family Medicine (Adolescent Medicine)
100 BREWSTER BLVD, NAVAL HOSPITAL
CAMP LEJEUNE, NC 28547
Onslow County (910) 450-4136
MRS. KIRSTEN E MILLER CNM, ARNP
Advanced Practice Midwife
100 BREWSTER BLVD, NAVAL HOSPITAL
CAMP LEJEUNE, NC 28547
Onslow County (910) 450-3905
MR. JOSEPH COSENTINO JR. CRNA
Registered Nurse
100 BREWSTER BLVD, NAVAL HOSPITAL CAMP LEJEUNE
CAMP LEJEUNE, NC 28547
Onslow County (828) 421-3636
DR. JULIE GREEN M.D.
Surgery
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547
Onslow County (910) 450-4136
MR. RICHARD MICHAEL GUTHRIE PT
Physical Therapist
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547
Onslow County (910) 450-4136
DR. CARL JOSEPH RUOFF JR. O.D.
Optometrist
100 BREWSTER BLVD, NAVAL HOSPITAL
CAMP LEJEUNE, NC 28547
Onslow County (910) 450-4159
MISS KELLY ELIZABETH MOKAY MS, RD, CSSD
Dietitian, Registered
100 BREWSTER BLVD, NAVAL HOSPITAL CAMP LEJEUNE
CAMP LEJEUNE, NC 28547
Onslow County (910) 450-4136
DR. CLARENCE CRAIG FARMER PHD
Psychologist
100 BREWSTER BLVD, NAVAL HOSPITAL
CAMP LEJEUNE, NC 28547
Onslow County (910) 450-3905

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 Timothy Hanley's NPI number?

The NPI number for Timothy Hanley is 1821317017. It was assigned to this individual provider in the NPPES registry on May 27, 2010.

Where is Timothy Hanley located?

Timothy Hanley practices at 100 Brewster Blvd, Camp Lejeune, NC 28547. The listed phone number is (910) 451-3435.

What is Timothy Hanley'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 Timothy Hanley was last updated on May 27, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.