IndividualActive
Braden Johnson, SOIDC
NPI 1093473613 · Independent Duty Corpsman · Camp Lejeune, NC
Provider details
- NPI number
- 1093473613
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- SOIDC
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
2d Reconnaissance Battalion
Camp Lejeune, NC 28542-0138
Phone: (910) 440-7703
Approximate (ZIP-level) locationGet directions
Mailing address
2nd Reconnisance Battalion Psc Box 20138
Camp Lejeune, NC 28542-0138
Registry dates
- Enumerated
- 2021-12-01
- Last updated
- 2021-12-01
- Certified
- 2021-11-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.