Keith Rockins, IDMT

Primary specialty

Independent Duty Medical TechniciansTaxonomy code 1710I1003X

Practice address

383 Maynard St
307A Flight Medicine
Pope Afb, NC 28308-2321

Phone

(910) 394-1328

NPI assigned

Apr 21, 2009

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": "1240272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240272000000",
    "number": "1801030903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "383 MAYNARD ST",
            "address_2": "307A FLIGHT MEDICINE",
            "city": "POPE AFB",
            "state": "NC",
            "postal_code": "283082321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "383 MAYNARD ST",
            "address_2": "307A FLIGHT MEDICINE",
            "city": "POPE AFB",
            "state": "NC",
            "postal_code": "283082321",
            "telephone_number": "910-394-1328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCKINS",
        "first_name": "KEITH",
        "credential": "IDMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-21",
        "last_updated": "2009-04-21",
        "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": []
}

• Christopher Michael Collier, D.D.S.
• Gwen Marie Compton Wear, IDMT
• Robert Delancy, PA-C
• Barry Alan Frasier, IDMT/NREMT-P
• Nayda Protzman, MSW
• Gerald Richard Schwartz, MD
• Jessica Serpa, IDMT
• Sheila Ann Shimek Christman, IDMT
• Fred Patrick Stone, PH.D.
• John Benjamin Warburton, MA

• All providers in Pope Afb, NC
• Independent Duty Medical Technicians in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2009; 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.