MR. ROBERT DENNIS PRESTON JR. (NPI# 1487746236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487746236 |
Entity Type | Individual |
Full Name | MR. ROBERT DENNIS PRESTON JR. |
Practice Address |
Brach Medical Clinic Naval Support Activity Mid-south Millington TN 38054 |
Mailing Address |
6035 Savitz Dr Millington TN 38053-2729 |
Practice Telephone | 9018746100 |
Mailing Telephone | 8584726169 |
Enumeration Date | 2006-09-29 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
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 |
---|---|---|---|---|
1942382585 | Robert C. Preston | General Practice | 408 Knollwood Dr, Rapid City, SD 57701-0600 | 2006-10-20 |
1508889494 | Robert Campbell Preston | Dentist | 9 E Dr Osman Babson Rd, Gloucester, MA 01930-1812 | 2006-07-25 |
1083262141 | Robert Preston | Counselor | 1049 Sw Baseline St Ste D480, Hillsboro, OR 97123-3863 | 2019-08-30 |
1538336581 | Robert James Preston | Emergency Medicine | 2051 Marengo St, Division of Trauma and Critical Care Usc, Los Angeles, CA 90033-1352 | 2008-05-09 |
1700818523 | Robert C Preston | Pharmacist | 400 Veterans Ave, Biloxi, MS 39531 | 2006-07-06 |
1669430369 | Robert Willard Preston | Ophthalmology | 1022 Willow Creek Rd, Suite 200, Prescott, AZ 86301-1607 | 2006-05-02 |
Street Address |
BRACH MEDICAL CLINIC NAVAL SUPPORT ACTIVITY MID-SOUTH |
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 |
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 |
1316915333 | Charles Barry Collier | Military Health Care Provider | Branch Medical Clinic, Nsa Mid South, 5722 Integrity Dr Bldg, Millington, TN 38054 | 2006-03-08 |
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 |
1336195080 | Michael James Young | Military Health Care Provider | 5720 Integrity Dr, Millington, TN 38054-5028 | 2006-05-25 |
1316915333 | Charles Barry Collier | Military Health Care Provider | Branch Medical Clinic, Nsa Mid South, 5722 Integrity Dr Bldg, Millington, TN 38054 | 2006-03-08 |
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 |
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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.