MR. BRENDON EARL DUMAS


Address: Rr612 Everett Creek Road, Camp Lejeune, NC 28542
Phone: 9104401947

MR. BRENDON EARL DUMAS (NPI# 1578032504) 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) 1578032504
Entity Type Individual
Full Name MR. BRENDON EARL DUMAS
Credential SOIDC
Practice Address Rr612 Everett Creek Road
Camp Lejeune
NC 28542
Mailing Address 512 Blackberry Ct
Hubert
NC 28539-4092
Practice Telephone 9104401947
Mailing Telephone 8084452984
Enumeration Date 2018-11-20
Last Update Date 2018-11-20
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 RR612 EVERETT CREEK ROAD
City CAMP LEJEUNE
State NC
Zip Code 28542

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609487578 Nicholas Milo Hutchison Emergency Medical Technician, Paramedic Rr612 Everett Creek Road, Camp Lejeune, NC 28547 2020-08-13
1205472693 Kevin Edward Murphy Military Health Care Provider Rr612 Everett Creek Road, Camp Lejeune, NC 28542-0073 2019-11-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1730794439 Lauren Marie Barton Dentist H M Smith Blvd, Bldg Fc-308, Camp Lejeune, NC 28542 2020-09-10
1003444928 Andres Martin Rodoni Military Health Care Provider 2nd Reconnaissance Battalion, Camp Lejune, NC 28542 2020-03-27
1699306670 Dominick Ciampo Military Health Care Provider A66 Boat Basin Road, Camp Lejeune, NC 28542 2020-01-29
1881243525 Alexander Thomas Rodgers Military Health Care Provider 2nd Raider Battalion, A66 Boat Basin Rd, Camp Lejeune, NC 28542 2019-09-05
1992352454 Kirsten Janel Snow Physician Assistant Hm Smith Boulevard, Bldg Fc-308, Camp Lejeune, NC 28542 2019-08-20
1639735947 Cody Robert Patton Military Health Care Provider 3rd Marine Raider Battalion, Bldg 614, Camp Lejeune, Nc, NC 28542 2019-05-13
1558832345 Nathaniel Franklin Campbell Military Health Care Provider Rr 612 Everett Creek Rd, Camp Lejuene, Fpo, AE 28542 2018-12-06
1053896514 Roy Atallah Military Health Care Provider 2nd Marine Raider Battalion, Camp Lejeune, NC 28542 2018-10-01
1316422975 Zachary Thomas Monahan General Practice Hm Smith Boulevard Bldg Fc-308, Camp Lejeune, NC 28542 2018-09-30
1760967509 Sergeous Evgeney Anikin-dick Military Health Care Provider 2d Marine Raider Battalion Psc 20183, Camp Lejeune, NC 28542 2018-09-27
Find all providers in zip 28542

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
1144820002 Levi Para Military Health Care Provider 2d Reconnaissance Bn, Psc 20138, Camp Lejeune, NC 28452-0138 2020-10-29
1699306670 Dominick Ciampo Military Health Care Provider A66 Boat Basin Road, Camp Lejeune, NC 28542 2020-01-29
1427694637 Aaron Patrick Bettcher Military Health Care Provider 3rd Mrb Loop Rd, Camp Lejeune, NC 28546 2019-11-22
1962044289 Levi Scott Marshall Military Health Care Provider Everett Creek Road, Building 612, Camp Lejeune, NC 28546 2019-10-09
1881243525 Alexander Thomas Rodgers Military Health Care Provider 2nd Raider Battalion, A66 Boat Basin Rd, Camp Lejeune, NC 28542 2019-09-05
1649826652 Nicholas Otazo Military Health Care Provider 3rd Mrb 20073, Camp Lejeune, NC 28546 2019-08-15
1053896514 Roy Atallah Military Health Care Provider 2nd Marine Raider Battalion, Camp Lejeune, NC 28542 2018-10-01
1760967509 Sergeous Evgeney Anikin-dick Military Health Care Provider 2d Marine Raider Battalion Psc 20183, Camp Lejeune, NC 28542 2018-09-27
1295212199 Ryan Loseke Military Health Care Provider 3d Mrb, Camp Lejeune, NC 28460 2018-07-24
1871070011 Christopher E Saxton Military Health Care Provider 3d Marine Raider Battalion Bas, Camp Lejeune, NC 28542-0073 2018-07-20
Find all providers in CAMP LEJEUNE

Competitor

Search similar providers

City CAMP LEJEUNE
Zip Code 28542

Improve Information

Please comment or provide details below to improve the information on MR. BRENDON EARL DUMAS.

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.

Trending Searches