MR. WILLIAM EDWARD MCBREEN JR.


Address: Coastal Riverine Group 1 Detachment Guam, Fpo, AP 96540-1400
Phone: 6713392336

MR. WILLIAM EDWARD MCBREEN JR. (NPI# 1518525583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518525583
Entity Type Individual
Full Name MR. WILLIAM EDWARD MCBREEN JR.
Credential SFIDC
Practice Address Coastal Riverine Group 1 Detachment Guam
Fpo
AP 96540-1400
Mailing Address 1263 Myrtle Ave
San Diego
CA 92103-5114
Practice Telephone 6713392336
Mailing Telephone 6197720484
Enumeration Date 2019-06-04
Last Update Date 2020-01-23
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1710I1002X Military Health Care Provider
Specialization: Independent Duty Corpsman
Other Service Providers

Office Location

Street Address COASTAL RIVERINE GROUP 1 DETACHMENT GUAM
City FPO
State AP
Zip Code 96540-1400

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1730749714 Tristan J. Kizy Registered Nurse Us Naval Hospital Guam Psc 455, Fpo, AP 96540 2019-06-20
1669983060 Sze King Tang Pharmacist U.S. Naval Hospital Guam Pharmacy PCs 455, Fpo, GU 96540 2017-10-12
1750763637 Kathleen R Montanez Military Health Care Provider Naval Hospital Guam Psc 455, Fpo, AP 96540 2015-06-26
1740488485 Devron John Felder Military Health Care Provider Naval Special Warfare Unit One, Psc 455 Box 182, Fpo, AP 96540 2007-07-03
1881086502 Katherine Biggs Emergency Medicine U.S. Naval Hospital Guam, Psc 455, Fpo, AP 96540 2015-03-04
1144725839 Eduardo Servin Military Health Care Provider Naval Base Guam, Eodmu 5, Santa Rita, GU 96540-0003 2018-03-26
1669602298 Christopher Avery Bartlett Military Health Care Provider Psc 455 Box 152, Fpo, AP 96540-0152 2009-07-16
1215306675 Bryan Lopez Military Health Care Provider Psc 455 Box 182, Medical Department, Navspecwaunit One, Fpo, AP 96540-1182 2015-09-16
1679672620 Naval Hospital Guam Military/U.S. Coast Guard Pharmacy Bldg 198, Dededo, GU 96540-1816 2006-09-22
1003877879 Mario John Mannarino Military Health Care Provider Msfsc Ship Support Unit, Guam, Psc 455, Box 198, Fpo, AP 96540-2600 2006-03-31
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Taxonomy Information

Taxonomy Code 1710I1002X
Grouping Other Service Providers
Classification Military Health Care Provider
Specialization Independent Duty Corpsman

Taxonomy 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.
Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538768833 James Blake Weldon Military Health Care Provider Unit 100517 Bx 1, Fpo, AP 09655 2020-10-19
1740803279 Issa Khalil Military Health Care Provider Uss Donald Cook, Fpo, AE 09566 2020-05-19
1396370623 Daniel Rocha Moy Military Health Care Provider Uss Thunderbolt (pc-12), Fpo, AE 09588 2020-03-06
1639701634 Stephen Henderson Military Health Care Provider 3d Recon Bn, Force Co., Unit 36180, Fpo, AP 96389-6180 2020-02-07
1649810219 Maxwell Onyedikachi Osisioma Military Health Care Provider Psd-18, Macg-18, 1st Maw Unit 37172, Fpo, AP 96372 2020-01-13
1508406273 Daniel Levin Military Health Care Provider 3d Recon Bn Aid Station, Fpo, AP 96389-6189 2020-01-10
1053955609 Christopher Zartman Military Health Care Provider Camp Foster, Okinawa Japan, Fpo, AP 96379-0005 2019-11-06
1912553975 Brandon Joseph Dapper Military Health Care Provider Camp Lejeune, Nc, 2d Reconnaissance Battalion Battalion Aid Station, Fpo, AA 28542-0138 2019-08-15
1558832345 Nathaniel Franklin Campbell Military Health Care Provider Rr 612 Everett Creek Rd, Camp Lejuene, Fpo, AE 28542 2018-12-06
1467947663 Jason David Alexander Military Health Care Provider Uss Kentucky, Ssbn, Fpo, AE 98312 2018-06-29
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Competitor

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City FPO
Zip Code 96540

Improve Information

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Dataset Information

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.

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