Bryan Villela, SOIDC

Primary specialty

Independent Duty CorpsmanTaxonomy code 1710I1002X

Practice address

2D Marine Raider Battalion
Camp Lejeune, NC 28540

Phone

(910) 440-7704

NPI assigned

Jul 22, 2020

Last updated

Jul 22, 2020By 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": "1595376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595376000000",
    "number": "1427666700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 PINE ISLAND DR",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "284436500",
            "telephone_number": "347-850-5560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2D MARINE RAIDER BATTALION",
            "city": "CAMP LEJEUNE",
            "state": "NC",
            "postal_code": "28540",
            "telephone_number": "910-440-7704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLELA",
        "first_name": "BRYAN",
        "credential": "SOIDC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-22",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "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": []
}

• Nichole C Vetter, NP
• Katherine Elizabeth Vickers, FNP-BC
• Dianne Angel Vickery, RPH
• Amanda Villa
• Melinda Villarreal, MS RD LD
• Brian Roy Vincent, D.O.
• Deedee Volp, CNA
• Joy Vraney, RD
• Dennis Vu
• Kayla Christine Vujovich, PHARMD

• 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 22, 2020; 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.