MR. GORDON DAVID BLAND JR. (NPI# 1619132669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619132669 |
| Entity Type | Individual |
| Full Name | MR. GORDON DAVID BLAND JR. |
| Credential | IDC |
| Practice Address |
Naval Submarine Base New London Apo AE 06349-5000 |
| Mailing Address |
94 Plant St New London CT 06320-4455 |
| Practice Telephone | 8606943505 |
| Practice Fax Number | 8606944326 |
| Mailing Telephone | 8606943505 |
| Mailing Fax Number | 8606944326 |
| Enumeration Date | 2008-07-18 |
| Last Update Date | 2008-07-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1002X |
Military Health Care Provider Specialization: Independent Duty Corpsman |
Other Service Providers |
| Street Address |
NAVAL SUBMARINE BASE NEW LONDON |
| City | APO |
| State | AE |
| Zip Code | 06349-5000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205434347 | Mvca | Optometrist | Navy Submarine Base New London, Bldg 484, Groton, CT 06349 | 2020-10-12 |
| 1376194274 | Christopher Lee Roy Smith | Military Health Care Provider | Uss San Juan (ssn 751), Groton, CT 06349 | 2019-09-23 |
| 1588127575 | Morgan Ross Jones | Student in an Organized Health Care Education/Training Program | Bx 159 Navsubase Nlon, Groton, CT 06349 | 2019-04-08 |
| 1689179640 | David Saunders | Military Health Care Provider | 159 Navsubase Nlon, Groton, CT 06349 | 2018-03-29 |
| 1013264423 | Dennis Buenaventura Custodio | Military Health Care Provider | 69 Trout Ave, Naval Undersea Medical Institute, Groton, CT 06349 | 2012-08-06 |
| 1609013549 | Nicolas David Mendoza | Military Health Care Provider | Uss Hawaii (ssn 776), Fpo, AE 06349 | 2009-01-14 |
| 1881843084 | Mark Francis Jarvis | Military Health Care Provider | Nssc Nlon, Bldg 76, Groton, CT 06349 | 2008-09-11 |
| 1780882738 | Michael Nutt | Military Health Care Provider | Bldg 517 Taugtog Ave, Navsubscol, Groton, CT 06349 | 2007-07-10 |
| 1497811343 | Keith Benjamin Hoekman | Nurse Practitioner | 1 Wahoo Dr, Groton, CT 06349 | 2006-12-28 |
| 1881604163 | Christina E Toufexis | Pediatrics | 1 Wahoo Drive, Groton, CT 06349 | 2006-08-09 |
| Find all providers in zip 06349 | ||||
| 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 |
|---|---|---|---|---|
| 1154920940 | Kyle Leo Price | Military Health Care Provider | Uss Oklahoma City, Apo, AP 96932 | 2020-10-22 |
| 1720624992 | Joshua Marcus Kuepper | Military Health Care Provider | 4th Force Reconnaissance Co, 1181 Sumner Rd Mcb Kaneohe Bay Hi, Apo, AA 96863 | 2019-11-22 |
| 1568929636 | Rory Joseph Farrell | Military Health Care Provider | Camp Pendleton, Apo, AA 00000 | 2019-02-26 |
| 1063938967 | Scott Thomas Sears | Military Health Care Provider | 1st Marine Logistics Group, Medical Battalion, Apo, AP 92055 | 2017-08-22 |
| 1497275515 | Scott Francis Rosenfield | Military Health Care Provider | Naval Special Warfare Unit Two, Unit 30401, Apo, AE 09107-0401 | 2017-06-20 |
| 1982000550 | Eric Haynes | Military Health Care Provider | Psc Box 20116 Camp Lejeune, Apo, AA 28542-0073 | 2014-11-10 |
| 1477957454 | Charles Edward East Jr. | Military Health Care Provider | 6th Marine Regiment, Apo, AE 28542 | 2014-10-20 |
| 1497168629 | Joseph Thomas | Military Health Care Provider | Us Naval Hospital Okinawa Camp Foster, Psc 482, Apo, AP 96362-1600 | 2014-06-05 |
| 1619220357 | Joezette Denise Julien | Military Health Care Provider | 357140, Maritime Expeditionary Security Squadron Three Medical, Apo, AP 92135-7140 | 2012-10-18 |
| 1871870022 | Ken Samuel Conklin | Military Health Care Provider | Psc Box 20073, Camp Lejeune, Nc, Apo, AA 28542-0073 | 2011-11-15 |
| Find all providers in APO | ||||
Please comment or provide details below to improve the information on MR. GORDON DAVID BLAND JR..
| 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.