Matthew Vincent McClure, IDC

Primary specialty

Independent Duty CorpsmanTaxonomy code 1710I1002X

Practice address

BLDG 111 C St
Camp Lejeune, NC 28542-0084

Phone

(910) 451-7821

Fax

(910) 451-7821

NPI assigned

Jul 2, 2007

Last updated

Jul 8, 2007By 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": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427255512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 ASH PL",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285428564",
            "telephone_number": "910-451-7821",
            "fax_number": "910-451-7821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BLDG 111 C ST",
            "city": "CAMP LEJEUNE",
            "state": "NC",
            "postal_code": "285420084",
            "telephone_number": "910-451-7821",
            "fax_number": "910-451-7821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLURE",
        "first_name": "MATTHEW",
        "middle_name": "VINCENT",
        "name_prefix": "Mr.",
        "credential": "IDC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Andersen McBreen, MD
• Zachary Eli McBride
• Stephen Daniel McCartney, MD
• Raymond W McClary, DPM
• Hannah June McCloud, ATC, PTA
• Dillon Daniel McCourt, DO
• Georgia Louise Marsh McCrary, D.O.
• William McDavid, SOIDC
• Kevin McDermott, D.O.
• Joshua McDevitt, M.D.

• Independent Duty Corpsman in Camp Lejeune, NC
• Providers in Camp Lejeune, NC by specialty
• Independent Duty Corpsman in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.