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TRENTON DEVONTE' GILLIAM
NPI 1942983705
Military Health Care Provider - Independent Duty Corpsman in Groton, CT

Active since August 09, 2023
TROUT AVE, BLDG 159, GROTON, CT 06340(860) 694-2876 Get Directions Write a Review

NPPES record last updated: August 9, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Trenton Devonte' Gilliam NPPES

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

TRENTON DEVONTE' GILLIAM (NPI 1942983705) is an individual independent duty corpsman provider in Groton, Connecticut and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1942983705
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameTRENTON DEVONTE' GILLIAM
Location AddressTROUT AVE, BLDG 159Groton, CT 06340
Mailing Address130 Dewey AveGroton, CT 06340-3343 · (901) 849-5952
Phone(860) 694-2876
Sole ProprietorNo
Enumeration DateAugust 9, 2023
NPPES CertifiedAugust 7, 2023
✔ NPI 1942983705 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.
TROUT AVE, Groton, CT 06340
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Other Providers at the Same Location NPPES 2

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

ERMELINDA ELAINE ALVISO IDC
Military Health Care Provider (Independent Duty Corpsman)
TROUT AVE
GROTON, CT 06340
Southeastern Connecticut Planning Region (860) 694-2876
NICHOLAS ANDREW CLEAR
Military Health Care Provider (Independent Duty Corpsman)
TROUT AVE, BLDG. 159
GROTON, CT 06340
Southeastern Connecticut Planning Region (860) 694-3416

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 Trenton Gilliam's NPI number?

The NPI number for Trenton Gilliam is 1942983705. It was assigned to this individual provider in the NPPES registry on August 9, 2023.

Where is Trenton Gilliam located?

Trenton Gilliam practices at Trout Ave Bldg 159, Groton, CT 06340. The listed phone number is (860) 694-2876.

What is Trenton Gilliam'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 Trenton Gilliam was last updated on August 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.