IndividualActive
Spencer Southerland, IDC
NPI 1922359702 · Military Health Care Provider · Jbphh, HI
Spencer Southerland, IDC is a Military Health Care Provider provider in Jbphh, HI (NPI 1922359702).
Provider details
- NPI number
- 1922359702
- Entity type
- Individual
- Primary specialty
- Military Health Care ProviderOther Service Providers
- Credential
- IDC
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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) 869-2600
Approximate (ZIP-level) locationGet directions
Mailing address
Seal Team 2
Fpo, AE 09501-4633
Registry dates
- Enumerated
- 2012-09-20
- Last updated
- 2025-04-03
- Certified
- 2025-04-03
Frequently asked questions
- What is Spencer Southerland's NPI number?
- Spencer Southerland's National Provider Identifier (NPI) is 1922359702, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Spencer Southerland's specialty?
- Spencer Southerland is listed in the NPPES registry with a primary specialty of Military Health Care Provider (Other Service Providers).
- Where is Spencer Southerland located?
- Spencer Southerland's practice location on file with NPPES is 480 Central Ave, Jbphh, HI 96860-4908.
- What is Spencer Southerland's phone number?
- The practice phone number listed in the NPPES registry for Spencer Southerland is (808) 869-2600.
- Is Spencer Southerland's NPI active?
- Yes — Spencer Southerland's NPI (1922359702) is active in the NPPES registry as of the last update on 2025-04-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.