IndividualActive
Brian Gomez, IDC, USN
NPI 1861234395 · Independent Duty Corpsman · Portland, OR
Provider details
- NPI number
- 1861234395
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- IDC, USN
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(50/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
5555 N Channel Ave
Portland, OR 97217-7655
Phone: (619) 545-0475
Approximate (ZIP-level) locationGet directions
Mailing address
550 Pope Ave
Fort Leavenworth, KS 66027-2332
Registry dates
- Enumerated
- 2024-06-06
- Last updated
- 2026-04-12
- Certified
- 2026-04-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.