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Bradley Proctor, IDC
NPI 1629635032 · Independent Duty Corpsman · San Diego, CA
Bradley Proctor, IDC is a Independent Duty Corpsman provider in San Diego, CA (NPI 1629635032).
Provider details
- NPI number
- 1629635032
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- IDC
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
34101 Farenholt Ave
San Diego, CA 92134-7000
Phone: (619) 532-7968
Approximate (ZIP-level) locationGet directions
Mailing address
530 Glenwood St
Bossier City, LA 71111-2205
Registry dates
- Enumerated
- 2019-05-21
- Last updated
- 2025-03-11
- Certified
- 2025-03-11
Frequently asked questions
- What is Bradley Proctor's NPI number?
- Bradley Proctor's National Provider Identifier (NPI) is 1629635032, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Bradley Proctor's specialty?
- Bradley Proctor is listed in the NPPES registry with a primary specialty of Independent Duty Corpsman (Other Service Providers).
- Where is Bradley Proctor located?
- Bradley Proctor's practice location on file with NPPES is 34101 Farenholt Ave, San Diego, CA 92134-7000.
- What is Bradley Proctor's phone number?
- The practice phone number listed in the NPPES registry for Bradley Proctor is (619) 532-7968.
- Is Bradley Proctor's NPI active?
- Yes — Bradley Proctor's NPI (1629635032) is active in the NPPES registry as of the last update on 2025-03-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.