IndividualActive
Terence Graden
NPI 1679856850 · Independent Duty Medical Technicians · Lackland, Afb, TX
Provider details
- NPI number
- 1679856850
- Entity type
- Individual
- Primary specialty
- Independent Duty Medical TechniciansOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
2200 Bergquist Dr. Suite 1
Wilford Hall
Lackland, Afb, TX 78236
Phone: (210) 887-2123
Street-level locationGet directions
Mailing address
2200 Bergquist Dr. Suite 1
Lackland, Afb, TX 78236
Registry dates
- Enumerated
- 2011-09-23
- Last updated
- 2011-09-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.