BRIAN JACOB GOMEZ IDC, USN
NPI 1861234395
Military Health Care Provider - Independent Duty Corpsman in Portland, OR

Q: What is Brian Gomez's NPI number?

The NPI number for Brian Gomez is 1861234395. It was assigned to this individual provider in the NPPES registry on June 6, 2024.

Q: What is Brian Gomez'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 Brian Gomez was last updated on April 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since June 06, 2024

5555 N CHANNEL AVE, PORTLAND, OR 97217(619) 545-0475 Get Directions Write a Review

NPPES record last updated: April 12, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 12, 2026, Jun 6, 2024 (2 updates tracked since 2024).

On this page

About Brian Jacob Gomez Idc, Usn NPPES

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

BRIAN JACOB GOMEZ IDC, USN (NPI 1861234395) is an individual independent duty corpsman provider in Portland, Oregon and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1861234395

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameBRIAN JACOB GOMEZCredential: IDC, USN

Location Address5555 N CHANNEL AVEPortland, OR 97217-7655

Mailing Address550 Pope AveFort Leavenworth, KS 66027-2332 · (619) 545-0475

Phone(619) 545-0475

Sole ProprietorNo

Enumeration DateJune 6, 2024

Last NPPES UpdateApril 12, 20262 updates tracked since enumeration

NPPES CertifiedApril 12, 2026

✔ NPI 1861234395 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.

5555 N CHANNEL AVE, Portland, OR 97217

Open in Google Maps ↗

Other Providers at the Same Location NPPES

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

BRANDY SHAY PESTKA

Physician Assistant

5555 N CHANNEL AVE, BLD. 72
PORTLAND, OR 97217

Multnomah County (503) 228-0295

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 Brian Gomez's NPI number?

The NPI number for Brian Gomez is 1861234395. It was assigned to this individual provider in the NPPES registry on June 6, 2024.

Where is Brian Gomez located?

Brian Gomez practices at 5555 N Channel Ave, Portland, OR 97217. The listed phone number is (619) 545-0475.

What is Brian Gomez'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 Brian Gomez was last updated on April 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.