IndividualActive
Thomas Walker, IDC
NPI 1396945853 · Independent Duty Corpsman · Stennis Space Center, MS
Provider details
- NPI number
- 1396945853
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- IDC
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Special Boat Team 22
2603 Lower Gainsville Rd
Stennis Space Center, MS 39529-0001
Phone: (228) 813-4000
Fax: (228) 813-4021
Approximate (ZIP-level) locationGet directions
Mailing address
Special Boat Team 22
Stennis Space Center, MS 39529-0001
Registry dates
- Enumerated
- 2007-07-23
- Last updated
- 2007-07-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.