Individual provider Active NPI

Brian Andrew Valley, SOIDC/PARAMEDIC

  • Independent Duty Corpsman
  • Ft Carson, CO
National Provider Identifier
1376453225
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Independent Duty CorpsmanTaxonomy code 1710I1002X
License
M5200187 Issued in CO
Practice address
6105 Wetzel Ave
Ft Carson, CO 80913-4156
Phone
(719) 503-0650
NPI assigned
Sep 11, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Duty Corpsman 1710I1002X M5200187 CO Primary

Addresses

Primary practice location

6105 Wetzel Ave
Ft Carson, CO 80913-4156

Mailing address

6105 Wetzel Ave
Ft Carson, CO 80913-4156
Phone (719) 503-0650

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1789084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1376453225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6105 WETZEL AVE",
            "city": "FT CARSON",
            "state": "CO",
            "postal_code": "809134156",
            "telephone_number": "719-503-0650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6105 WETZEL AVE",
            "city": "FT CARSON",
            "state": "CO",
            "postal_code": "809134156",
            "telephone_number": "719-503-0650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLEY",
        "first_name": "BRIAN",
        "middle_name": "ANDREW",
        "credential": "SOIDC/PARAMEDIC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-09-11",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": "CO",
            "license": "M5200187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Carson, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.