Brandon Alan Baker, I.D.C.
Individual provider Active NPI Independent Duty Corpsman · Crane, IN
NPI 1184838005 · NPPES record last updated Aug 1, 2007
Key facts
- NPI
- 1184838005
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Independent Duty Corpsman 1710I1002X
- Practice address
- Nsa Crane Medical Department BLDG 2516
300 Hwy 361
Crane, IN 47446 - Phone
- (812) 854-4314
- Fax
- (812) 854-1339
- NPI assigned
- May 9, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Independent Duty Corpsman | 1710I1002X | Yes |
Addresses
Primary practice location
Nsa Crane Medical Department BLDG 2516
300 Hwy 361
Crane, IN 47446
Mailing address
879 Cassidy LN
Mitchell, IN 47446-5215
Phone (812) 854-4314
Other providers in Crane, IN
- Branch Medical Clinic Crane
- Melanie Sue Fulford
- Brandon Helm
- NHC Pensacola
- Christopher David Smelser
All providers in Crane, IN · Independent Duty Corpsman in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 1, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.