Active NPIIndividual provider

Mr. Gordon D Bland Jr., IDC

Military Health Care Provider, Independent Duty Corpsman in Apo, AE

NPI Number1619132669
Practice location
Naval Submarine Base New London, Apo, AE 06349-5000
Fax
860-694-4326
Last updated
July 18, 2008

Gordon David Bland is a Military Health Care Provider, Independent Duty Corpsman based in Apo, AE. Gordon David Bland practices in Apo, AE and has the professional credentials of IDC. The NPI Number for Gordon David Bland is 1619132669. The current practice location address for Gordon David Bland is Naval Submarine Base New London, Apo, AE 06349-5000 and can be reached out via phone at 860-694-3505 and via fax at 860-694-4326.

Provider Profile Details

NPI Number
1619132669
Provider Name
Gordon David Bland
Credential
IDC
Provider Entity Type
Individual
Gender
Male
Address
Naval Submarine Base New London, Apo, AE 06349-5000
Phone Number
860-694-3505
Fax Number
860-694-4326
Sole Proprietor
No
Provider Enumeration Date
July 18, 2008
Last Update Date
July 18, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
Naval Submarine Base New London
Apo, AE 06349-5000
City
Apo
State
AE
Zip
06349-5000
Phone Number
860-694-3505
Fax Number
860-694-4326
Apo, AE 06349Get directions →

Provider Business Mailing Address Details

Address
94 Plant St
New London, CT 06320-4455
City
New London
State
CT
Zip
06320-4455
Phone Number
860-694-3505
Fax Number
860-694-4326

License Information

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Gordon D Bland Jr., IDC?

The NPI number of Mr. Gordon D Bland Jr., IDC is 1619132669. It was assigned on July 18, 2008 and is currently active in the NPPES registry.

What is the specialty of Mr. Gordon D Bland Jr., IDC?

Mr. Gordon D Bland Jr., IDC is registered under the primary taxonomy Military Health Care Provider, Independent Duty Corpsman (code 1710I1002X).

Where does Mr. Gordon D Bland Jr., IDC practice?

The practice location is Naval Submarine Base New London, Apo, AE 06349-5000. The office can be reached at 860-694-3505 (phone) or 860-694-4326 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1619132669 directly on the NPPES registry website.

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