MR. BRYAN EDWARD BOUCHARD IDC
NPI 1861692857
Military Health Care Provider - Independent Duty Corpsman in Camp Lejeune, NC

Q: What is Bryan Bouchard's NPI number?

The NPI number for Bryan Bouchard is 1861692857. It was assigned to this individual provider in the NPPES registry on July 19, 2007.

Q: What is Bryan Bouchard'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 Bryan Bouchard was last updated on July 19, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 19, 2007

2ND TANK BATTALION, CAMP LEJEUNE, NC 28542(910) 449-9092 Get Directions Write a Review

NPPES record last updated: July 19, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mr. Bryan Edward Bouchard Idc NPPES

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

MR. BRYAN EDWARD BOUCHARD IDC (NPI 1861692857) is an individual independent duty corpsman provider in Camp Lejeune, North Carolina and active in the NPI registry since July 2007.

NPPES Registry Identity

NPI1861692857

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameMR. BRYAN EDWARD BOUCHARDCredential: IDC

Location Address2ND TANK BATTALIONCamp Lejeune, NC 28542

Mailing Address801 Brynn Marr RdJacksonville, NC 28546-7608 · (910) 346-1512

Phone(910) 449-9092

Sole ProprietorNo

Enumeration DateJuly 19, 2007

✔ NPI 1861692857 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.

2ND TANK BATTALION, Camp Lejeune, NC 28542

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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 Bryan Bouchard's NPI number?

The NPI number for Bryan Bouchard is 1861692857. It was assigned to this individual provider in the NPPES registry on July 19, 2007.

Where is Bryan Bouchard located?

Bryan Bouchard practices at 2nd Tank Battalion, Camp Lejeune, NC 28542. The listed phone number is (910) 449-9092.

What is Bryan Bouchard'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 Bryan Bouchard was last updated on July 19, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.