IndividualActive
Matthew Reagan
NPI 1821502683 · Independent Duty Corpsman · Jbphh, HI
Provider details
- NPI number
- 1821502683
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
480 Central Ave
Jbphh, HI 96860-4908
Phone: (808) 473-1880
Approximate (ZIP-level) locationGet directions
Mailing address
10139 Glennon St
San Diego, CA 92124-2914
Registry dates
- Enumerated
- 2017-11-30
- Last updated
- 2017-11-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.