Charles Brandon Krcilek

Primary specialty

Independent Duty CorpsmanTaxonomy code 1710I1002X

Practice address

PO Box 555584
Camp Pendleton, CA 92055-5584

Phone

(815) 514-9146

NPI assigned

Oct 6, 2026

Last updated

Oct 6, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1791244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791244800000",
    "number": "1396649000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "476 S IRONWOOD DR",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "851205076",
            "telephone_number": "815-514-9146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 555584",
            "city": "CAMP PENDLETON",
            "state": "CA",
            "postal_code": "920555584",
            "telephone_number": "815-514-9146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRCILEK",
        "first_name": "CHARLES",
        "middle_name": "BRANDON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-10-06",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Elizabeth Koury, DDS
• Daniel Steven Kozicki, D.O.
• Madelyn Paula Kozub, RN
• Sari Helen Krassin, BS, RDH
• Greigory William Kraus, MD
• Valery Krupnik, LCSW
• Lidia Paola Kruse Peralta, MD
• Natalia Maria Kuhn, MD
• Doris K Lam, D.M.D., M.S.
• Jeremy Dean Lamb, O.D.

• Independent Duty Corpsman in Camp Pendleton, CA
• Providers in Camp Pendleton, CA by specialty
• Independent Duty Corpsman in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.