Cameron Scott Carson

Primary specialty

Independent Duty Medical TechniciansTaxonomy code 1710I1003X

Practice address

57950 Leavenworth St
McConnell AFB, KS 67221-3505

Phone

(832) 454-7674

NPI assigned

Oct 20, 2025

Last updated

Apr 15, 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": "1760918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1720955438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8413 E TRAVIS DR",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672101758",
            "telephone_number": "832-454-7674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57950 LEAVENWORTH ST",
            "city": "MCCONNELL AFB",
            "state": "KS",
            "postal_code": "672213505",
            "telephone_number": "832-454-7674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARSON",
        "first_name": "CAMERON",
        "middle_name": "SCOTT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-10-20",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1003X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Medical Technicians",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Russell Balcolm, IDMT
• Diane Sue Bidwell, LSCSW
• Marilyn R Brandt, WHCNP
• Kent Taylor Broberg, MD
• Annie Larae Carroll, LCSW
• David Ralph Carson, OD
• Donald E Christensen, D.O.
• Larry E Chupp, PA-C, MPAS
• Dawn Marie Clifton, CRNP
• Tyler Paul Cody, DMD

• Independent Duty Medical Technicians in McConnell AFB, KS
• Providers in McConnell AFB, KS by specialty
• Independent Duty Medical Technicians in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.