IndividualActive
Bryan Zimmerman, IDC
NPI 1174641344 · Independent Duty Corpsman · Virginia Beach, VA
Provider details
- NPI number
- 1174641344
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- IDC
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
2360 Amphibious Dr
Virginia Beach, VA 23459-8810
Phone: (757) 462-3423
Fax: (757) 462-2115
Approximate (ZIP-level) locationGet directions
Mailing address
225 Equinox Lndg
Suffolk, VA 23434-2078
Registry dates
- Enumerated
- 2007-03-27
- Last updated
- 2010-03-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.