Richard Justin Engle, NAVY IDC

Primary specialty

Independent Duty CorpsmanTaxonomy code 1710I1002X

License

1710I1002X Issued in NC

Practice address

2ND Battalion 9TH Marines BLDG. 514
2ND Marine Division
Camp Lejeune, NC 28542

Phone

(910) 450-9431

NPI assigned

Jun 18, 2007

Sex

Male

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801091285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 PLAZA DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285405128",
            "telephone_number": "678-656-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2ND BATTALION 9TH MARINES BLDG. 514",
            "address_2": "2ND MARINE DIVISION",
            "city": "CAMP LEJEUNE",
            "state": "NC",
            "postal_code": "28542",
            "telephone_number": "910-450-9431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGLE",
        "first_name": "RICHARD",
        "middle_name": "JUSTIN",
        "name_prefix": "Mr.",
        "credential": "NAVY IDC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": "NC",
            "license": "1710I1002X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael James Elmer I, SOIDC
• Brandon Elrod, PA-S
• Lisa Marie Endler
• Amanda Marie England, RN
• Carmela England, IDC
• Chanda English, IDC
• Thomas Patrick English, MD
• James J Epperly Jr., D.O.
• Zachary James Eschenberg, DDS
• Claire Jacqueline Esposito, 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.