CHARLES BARRY COLLIER (NPI# 1316915333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316915333 |
| Entity Type | Individual |
| Full Name | CHARLES BARRY COLLIER |
| Credential | IDC |
| Practice Address |
Branch Medical Clinic, Nsa Mid South 5722 Integrity Dr Bldg Millington TN 38054 |
| Mailing Address |
577 Plum Tree Cir Atoka TN 38004-6682 |
| Practice Telephone | 9018742077 |
| Mailing Telephone | 9018379707 |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1002X |
Military Health Care Provider Specialization: Independent Duty Corpsman |
Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477549285 | Charles H Collier | Radiology | 2 Guthrie Dr, Corning, NY 14830-3697 | 2005-09-27 |
| 1275969677 | Charles Robert Collier IIi | Physician Assistant | 269 Portland Way S, Galion, OH 44833-2312 | 2013-09-18 |
| Street Address |
BRANCH MEDICAL CLINIC, NSA MID SOUTH 5722 INTEGRITY DR BLDG |
| City | MILLINGTON |
| State | TN |
| Zip Code | 38054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073137758 | Stephanie Nicole Zuckerman | Psychologist | Intrepid Street, Bldg. S-771, Millington, TN 38054 | 2020-05-29 |
| 1992243000 | Paul Livernois | Pharmacist | S-752 Tarawa Ave, Millington, TN 38054 | 2017-02-09 |
| 1962751149 | Megan Nicole Seay Shelton | Dentist | 5722 Integrity Drive Building S-771, Millington, TN 38054 | 2012-09-05 |
| 1710208178 | Michael W Johns | Family Medicine | 5722 Intregrity Dr. Bldg. S771, Branch Medical Clinic Nsa Mid-south, Millington, TN 38054 | 2010-06-18 |
| 1053526996 | Ira N.b. Davis | Optometrist | Nex - Midsouth, Bldg S752, Millington, TN 38054 | 2007-05-14 |
| 1487746236 | Robert Dennis Preston Jr. | Military Health Care Provider | Brach Medical Clinic, Naval Support Activity Mid-south, Millington, TN 38054 | 2006-09-29 |
| 1366486086 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | Nex - Navy Support Activity - Memphis, Bldg. S752, Millington, TN 38054 | 2006-06-15 |
| 1710948245 | James R Luedtke | Technician, Other | 5722 Integrity Drive, Bldg S771, Nbhc, Nsa Mid-south, Millington, TN 38054 | 2006-04-02 |
| 1154391977 | Jose Calixto De La Pena | Family Medicine | 5722 Intergrity Dr., Blgd S771 (nbhc Midsouth, Millington, TN 38054 | 2006-01-24 |
| 1003891490 | Thomas Mitchell Prater | Dentist | 5722 Integrity Drive, Bldg. S771, Millington, TN 38054 | 2005-12-08 |
| Find all providers in zip 38054 | ||||
| Taxonomy Code | 1710I1002X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Corpsman |
| 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. |
| Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295059491 | William Lee Mark Stone | Military Health Care Provider | 5722 Integrity Dr Bldg S-771, Millington, TN 38054-5028 | 2010-03-17 |
| 1487746236 | Robert Dennis Preston Jr. | Military Health Care Provider | Brach Medical Clinic, Naval Support Activity Mid-south, Millington, TN 38054 | 2006-09-29 |
| 1336195080 | Michael James Young | Military Health Care Provider | 5720 Integrity Dr, Millington, TN 38054-5028 | 2006-05-25 |
| 1730367020 | Alexander Joseph Mabile IIi | Military Health Care Provider | 5722 Integrity Dr, Navmac, Millington, TN 38054-5028 | 2008-02-08 |
| 1821284894 | Tonya Victoria Jones | Military Health Care Provider | 5720 Integrity Dr, Millington, TN 38055-4070 | 2007-09-24 |
| 1316049281 | Benjamin A B Heverly | Military Health Care Provider | 5722 Integrity Dr, Millington, TN 38054-5028 | 2006-09-02 |
| 1356311518 | Michael F Ballard | Military Health Care Provider | 5722 Integrity Dr, Bldg S771, Millington, TN 38054-5028 | 2006-01-23 |
| 1316917586 | Timothy James Francis | Military Health Care Provider | 5722 Integrity Dr, Bldg S771, Millington, TN 38054-5028 | 2006-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710292172 | Larry L Lacefield | Military Health Care Provider | 5528 Maple Landing Dr, Arlington, TN 38002-7031 | 2010-08-10 |
| 1902000805 | Perry Michael Miller | Military Health Care Provider | 569 Skyline Dr, Jackson, TN 38301-3911 | 2007-06-13 |
| 1063544211 | Jonathan Scott Allen | Military Health Care Provider | 2 Auction Ave, Memphis, TN 38105-1502 | 2007-03-12 |
| 1669458345 | Shawn R. Getola | Military Health Care Provider | 2 Auction Ave, Memphis, TN 38105-1502 | 2005-12-15 |
| City | MILLINGTON |
| Zip Code | 38054 |
Please comment or provide details below to improve the information on CHARLES BARRY COLLIER.
| 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.