MR. SCOTT DAVID GRAHAM HM IDC NPI 1932312097

NPI Information

  • NPI: 1932312097
  • Provider Name: MR. SCOTT DAVID GRAHAM, HM IDC
  • Classification: Military Health Care Provider - 1710I1002X
  • Specialization: Independent Duty Corpsman
  • Entity Type: Individual
  • Address: EODMU 5 UNIT 25499
    2112 SUMAY COVE DRIVE
    SANTA RITA, GAUM
    ZIP 96915
  • Phone: (671) 339-8171

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NPI Details

MR. Scott David Graham, HM IDC is an independent duty corpsman military health care provider in Santa Rita, GAUM. 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. Scott David Graham, HM IDC NPI is 1932312097. 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:

EODMU 5 UNIT 25499
2112 SUMAY COVE DRIVE
SANTA RITA, GAUM
ZIP 96915
Phone: (671) 339-8171
Fax: (671) 339-8179

The enumeration date for this NPI number is 5/7/2007 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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