IndividualActive
David Thacker, SOIDC
NPI 1528298478 · Independent Duty Corpsman · Camp Lejeune, NC
Provider details
- NPI number
- 1528298478
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- SOIDC
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
2d Reconnaissance Battalion, II Mef
Psc Box 20138
Camp Lejeune, NC 28542-0138
Phone: (910) 440-7719
Approximate (ZIP-level) locationGet directions
Mailing address
2d Reconnaissance Battalion
Camp Lejeune, NC 28542-0138
Registry dates
- Enumerated
- 2009-07-24
- Last updated
- 2009-07-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.