BOBBY RAY PHILLIPS JR. IDC
NPI 1902544042
Military Health Care Provider - Independent Duty Corpsman in Camp Lejeune, NC

Q: What is Bobby Phillips's NPI number?

The NPI number for Bobby Phillips is 1902544042. It was assigned to this individual provider in the NPPES registry on May 26, 2022.

Q: What is Bobby Phillips'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 Bobby Phillips was last updated on May 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 May 26, 2022

3D MARINE RAIDER BATTALION, RR612 EVERETT CREEK RD, CAMP LEJEUNE, NC 28542(910) 440-1947 Get Directions Write a Review

NPPES record last updated: May 26, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Bobby Ray Phillips Jr. Idc NPPES

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

BOBBY RAY PHILLIPS JR. IDC (NPI 1902544042) is an individual independent duty corpsman provider in Camp Lejeune, North Carolina and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1902544042

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameBOBBY RAY PHILLIPS JR.Credential: IDC

Location Address3D MARINE RAIDER BATTALION, RR612 EVERETT CREEK RDCamp Lejeune, NC 28542-0073

Mailing Address3d Marine Raider Battalion, Psc Box 20073Camp Lejeune, NC 28542-0073 · (910) 440-1947

Phone(910) 440-1947

Sole ProprietorYes

Enumeration DateMay 26, 2022

NPPES CertifiedMay 9, 2022

✔ NPI 1902544042 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.

3D MARINE RAIDER BATTALION, RR612 EVERETT CREEK RD, 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 Bobby Phillips's NPI number?

The NPI number for Bobby Phillips is 1902544042. It was assigned to this individual provider in the NPPES registry on May 26, 2022.

Where is Bobby Phillips located?

Bobby Phillips practices at 3D Marine Raider Battalion, Rr612 Everett Creek Rd, Camp Lejeune, NC 28542. The listed phone number is (910) 440-1947.

What is Bobby Phillips'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 Bobby Phillips was last updated on May 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.