Gwen Marie Compton Wear, IDMT

Primary specialty

Independent Duty Medical TechniciansTaxonomy code 1710I1003X

Practice address

3-1947 Malvesti Road
Pope AFB, NC 28308

Phone

(910) 243-0504

NPI assigned

Apr 24, 2009

Last updated

Apr 24, 2009By the provider in NPPES

Sex

Female

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": "1240531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240531200000",
    "number": "1871737593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 UNION CIR",
            "city": "LILLINGTON",
            "state": "NC",
            "postal_code": "275466288",
            "telephone_number": "910-814-2616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3-1947 MALVESTI ROAD",
            "city": "POPE AFB",
            "state": "NC",
            "postal_code": "28308",
            "telephone_number": "910-243-0504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMPTON WEAR",
        "first_name": "GWEN",
        "middle_name": "MARIE",
        "credential": "IDMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-24",
        "last_updated": "2009-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1003X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Medical Technicians",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 43Rd Medical Group
• AMC Womack-Ft Bragg (Pope Phcy)
• Michael Edgar Bradley, D.D.S.
• Deborah Lynn Cahall, L.C.S.W.
• Christopher Michael Collier, D.D.S.
• Robert Delancy, PA-C
• James H Dienst, O.D.
• Barry Alan Frasier, IDMT/NREMT-P
• Thomas N Magee, PH D.
• Antoinette Marie McNeary, NP

• Independent Duty Medical Technicians in Pope AFB, NC
• Providers in Pope AFB, NC by specialty
• 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 24, 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.