IndividualActive
Bryan Bouchard, IDC
NPI 1861692857 · Independent Duty Corpsman · Camp Lejeune, NC
Provider details
- NPI number
- 1861692857
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- IDC
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
2nd Tank Battalion
Camp Lejeune, NC 28542
Phone: (910) 449-9092
Approximate (ZIP-level) locationGet directions
Mailing address
801 Brynn Marr Rd
Jacksonville, NC 28546-7608
Registry dates
- Enumerated
- 2007-07-19
- Last updated
- 2007-07-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.