Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JAELEN MYRICK
NPI 1871406322
Military Health Care Provider - Independent Duty Medical Technicians in Bolling Afb, DC

Active since September 25, 2026
238 BROOKLEY AVE SW, BOLLING AFB, DC 20032(202) 404-1496 Get Directions Write a Review

NPPES record added: September 25, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Jaelen Myrick NPPES

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

JAELEN MYRICK (NPI 1871406322) is an individual independent duty medical technicians provider in Bolling Afb, District Of Columbia and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1871406322
Entity TypeIndividualMale
Primary Taxonomy1710I1003X
Provider Legal NameJAELEN MYRICK
Location Address238 BROOKLEY AVE SWBolling Afb, DC 20032-7704
Mailing Address238 Brookley Ave SwBolling Afb, DC 20032-7704
Sole ProprietorNo
Enumeration DateSeptember 25, 2026
NPPES CertifiedSeptember 25, 2026
✔ NPI 1871406322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code1710I1003X
Definition
An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians.
238 BROOKLEY AVE SW, Bolling Afb, DC 20032

Other Providers at the Same Location NPPES 12

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

Military Health Care Provider (Independent Duty Medical Technicians)
238 BROOKLEY AVE SW
BOLLING AFB, DC 20032
Nurse Practitioner (Family)
238 BROOKLEY AVE SW
BOLLING AFB, DC 20032
Dentist
238 BROOKLEY AVE SW, JOINT BASE ANACOSTIA
BOLLING AFB, DC 20032
Pharmacist
238 BROOKLEY AVE SW
BOLLING AFB, DC 20032
Dentist (General Practice)
238 BROOKLEY AVE SW, 579TH MDG/SGHC
BOLLING AFB, DC 20032
Optometrist
238 BROOKLEY AVE SW
BOLLING AFB, DC 20032
Nurse Practitioner (Women's Health)
238 BROOKLEY AVE SW
BOLLING AFB, DC 20032
Nurse Practitioner (Psychiatric/Mental Health)
238 BROOKLEY AVE SW
BOLLING AFB, DC 20032

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 Jaelen Myrick's NPI number?

The NPI number for Jaelen Myrick is 1871406322. It was assigned to this individual provider in the NPPES registry on September 25, 2026.

Where is Jaelen Myrick located?

Jaelen Myrick practices at 238 Brookley Ave SW, Bolling Afb, DC 20032. The listed phone number is (202) 404-1496.

What is Jaelen Myrick's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Medical Technicians, with taxonomy code 1710I1003X.

When was this NPI record last updated?

The NPPES record for Jaelen Myrick was last updated on September 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.