IndividualActive
Matthew Coleman, SFIDC
NPI 1770907412 · Independent Duty Corpsman · Gulfport, MS
Provider details
- NPI number
- 1770907412
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- SFIDC
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
Nbhc Naval Construction Battalion Center Gulfport
5501 Marvin Shields Blvd
Gulfport, MS 39501
Phone: (228) 871-2810
Approximate (ZIP-level) locationGet directions
Mailing address
18378 Cardinal Ln
Gulfport, MS 39503-5594
Registry dates
- Enumerated
- 2014-02-18
- Last updated
- 2014-02-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.