IndividualActive
Barry Gibson, IDC
NPI 1780832022 · Independent Duty Corpsman · Camp Lejeune, NC
Provider details
- NPI number
- 1780832022
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- IDC
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
100 Brewster Blvd
Nh Camp Lejeune
Camp Lejeune, NC 28542
Phone: (910) 451-0579
Approximate (ZIP-level) locationGet directions
Mailing address
101 Penquin Pl
Hampstead, NC 28443-3746
Registry dates
- Enumerated
- 2008-08-28
- Last updated
- 2008-08-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.