EDWARD REGIS NEVILLE SOIDC NPI 1053082651

NPI Information

  • NPI: 1053082651
  • Provider Name: EDWARD REGIS NEVILLE, SOIDC
  • Classification: Clinic/Center - 261QM1103X
  • Specialization: Military Ambulatory Procedure Visits Operational (Transportable)
  • Entity Type: Individual
  • Address: 3D RECON BAS
    FPO, AP
    ZIP 96389
  • Phone: (917) 943-0666

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NPI Details

Edward Regis Neville, SOIDC is a military ambulatory procedure visits operational (transportable) clinic center in Fpo, AP. The provider is non-fixed facilities or distinct parts of a non-fixed facility, providing outpatient surgical procedures requiring medically supervised recovery. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport. Includes initial take home pharmaceuticals. Edward Regis Neville, SOIDC NPI is 1053082651. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3D RECON BAS
FPO, AP
ZIP 96389
Phone: (917) 943-0666

The enumeration date for this NPI number is 9/23/2021 and was last updated on 9/23/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1171000000XMilitary Health Care ProviderNo
2171000000XMilitary Health Care ProviderNEW YORKNo
3261QM1103XClinic/CenterMilitary Ambulatory Procedure Visits Operational (Transportable)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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