MR. BRADLEY IVAN GALLIMORE IDC NPI 1780702944

NPI Information

  • NPI: 1780702944
  • Provider Name: MR. BRADLEY IVAN GALLIMORE, IDC
  • Classification: Military Health Care Provider - 1710I1002X
  • Specialization: Independent Duty Corpsman
  • Entity Type: Individual
  • Address: 650 SEWALL ST
    NAVAL AIR STATION
    BRUNSWICK, ME
    ZIP 04011
  • Phone: (207) 921-1621

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NPI Details

MR. Bradley Ivan Gallimore, IDC is an independent duty corpsman military health care provider in Brunswick, ME. The provider is a Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals. MR. Bradley Ivan Gallimore, IDC NPI is 1780702944. 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:

650 SEWALL ST
NAVAL AIR STATION
BRUNSWICK, ME
ZIP 04011-011
Phone: (207) 921-1621

The enumeration date for this NPI number is 3/27/2007 and was last updated on 7/8/2007.

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
11710I1002XMilitary Health Care ProviderIndependent Duty CorpsmanYes

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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