MR. RYAN STEPHEN HILDEBRAND (NPI# 1003885427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003885427 |
| Entity Type | Individual |
| Full Name | MR. RYAN STEPHEN HILDEBRAND |
| Credential | IDC |
| Practice Address |
Bldg 3005 S R 108 Bridgeport CA 93517 |
| Mailing Address |
Bldg 3005 Sr 108 Attn Medical Clinic Bridgeport CA 93517 |
| Practice Telephone | 7609321614 |
| Mailing Telephone | 7609321614 |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2008-09-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1003X |
Military Health Care Provider Specialization: Independent Duty Medical Technicians |
Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538227764 | Ryan Andrew Hildebrand | Chiropractor | 108 Memorial Dr, Donaldsonville, LA 70346 | 2006-12-04 |
| Street Address |
BLDG 3005 S R 108 |
| City | BRIDGEPORT |
| State | CA |
| Zip Code | 93517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861785651 | Greg Urick | Military Health Care Provider | Sr 108 Bldg 3005, Dewert Branch Medical Clinic, Bridgeport, CA 93517 | 2011-05-26 |
| 1093023681 | Robert Joseph Scherl | Physician Assistant | Bldg #3005 S.r. 108, Naval Hospital Branch Clinic, Bridgeport, Bridgeport, CA 93517 | 2010-09-17 |
| 1649416835 | Duane E Postler | Military Health Care Provider | Bldg 3005 Sr 108, Bridgeport, CA 93517 | 2008-12-18 |
| 1730339763 | Toby Natividad Hernandez | Military Health Care Provider | Mwtc Bldg 3005 State Route 108, Attn: Medical, Bridgeport, CA 93517 | 2008-09-26 |
| 1083817597 | Branch Medical Clinic Bridgeport | Clinic/Center | Mwtc Bldg 3005, Bridgeport, CA 93517 | 2007-06-11 |
| 1730205949 | County of Mono | Ambulance | 199 Twin Lakes Road, Bridgeport, CA 93517 | 2007-03-21 |
| 1720134372 | Tommy Savedra | Physician Assistant | 221 Twin Lakes Rd, Bridgeport, CA 93517 | 2007-01-26 |
| 1043383508 | Susan Flanigan Bates | Nurse Practitioner | Mcmwtc Bldg 3005, Hc 83 Box 1, Bridgeport, CA 93517 | 2006-11-15 |
| 1497735435 | Chris Joas | General Practice | Bldg 3005, Sr 108, Dewert Branch Health Clinic, Mcmwtc, Bridgeport, CA 93517 | 2006-01-17 |
| 1093127789 | Naval Hospital Camp Pendleton | Military/U.S. Coast Guard Pharmacy | Mcmwtc, Bldg 3005 Sr 108, Bridgeport, CA 93517 | 2014-05-29 |
| Find all providers in zip 93517 | ||||
| Taxonomy Code | 1710I1003X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Medical Technicians |
| 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. |
| Notes: Source: Air Force Surgeon General Office [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366051294 | Ryan Allan Arriaga | Military Health Care Provider | 1000 Allison Dr, Vacaville, CA 95687-4975 | 2020-07-27 |
| 1851917165 | Katelyn Renee Watson | Military Health Care Provider | 101 Bodin Drive, Bldg 777, Fairfield, CA 95688 | 2020-06-23 |
| 1558911024 | Christopher Andersen | Military Health Care Provider | 1000 Allison Dr Apt 183, Vacaville, CA 95687-4988 | 2019-09-17 |
| 1558873968 | Giovanni Oddo | Military Health Care Provider | 25051 Mawson Dr, Laguna Hills, CA 92653-5263 | 2017-10-26 |
| 1730606658 | Jeffrey Rodriguez | Military Health Care Provider | 975 Carl Cir, Edwards, CA 93523-1906 | 2017-08-23 |
| 1154847960 | James Edward Schafer | Military Health Care Provider | 883 Covey Ct, Hollister, CA 95023-8906 | 2017-08-15 |
| 1437551702 | Jonathan Saplan | Military Health Care Provider | 1411 Pelican Way, Suisun City, CA 94585-2330 | 2014-09-18 |
| 1093124398 | Benjamin Ryan Foy | Military Health Care Provider | 2784 Hornet Way, San Diego, CA 92106-6421 | 2014-08-12 |
| 1598182214 | Matthew Wheaton Burns | Military Health Care Provider | 105 Colorado St, Travis Afb, CA 94535-1255 | 2014-03-19 |
| 1508282658 | April Summers | Military Health Care Provider | 2205 Farrell Ave Apt 204, Redondo Beach, CA 90278-1846 | 2014-03-13 |
| Find all providers with the same taxonomy | ||||
| City | BRIDGEPORT |
| Zip Code | 93517 |
Please comment or provide details below to improve the information on MR. RYAN STEPHEN HILDEBRAND.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.