BRENDEN MICHAEL LEE FOWLER (NPI# 1699394171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699394171 |
| Entity Type | Individual |
| Full Name | BRENDEN MICHAEL LEE FOWLER |
| Credential | IDMT |
| Practice Address |
86th Medical Group Unit 3215 Apo AE 09094 |
| Mailing Address |
Psc 2 Box 8336 Apo AE 09012-0084 |
| Practice Telephone | 4053889873 |
| Mailing Telephone | 4053889873 |
| Enumeration Date | 2020-04-14 |
| Last Update Date | 2020-04-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1002X |
Military Health Care Provider Specialization: Independent Duty Corpsman |
Other Service Providers |
| Street Address |
86TH MEDICAL GROUP UNIT 3215 |
| City | APO |
| State | AE |
| Zip Code | 09094 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689959736 | Caleb Rink | Optometrist | 86th Medical Group, Unit 3215, Apo, AE 09094-3215 | 2011-10-19 |
| 1972122430 | Taylor Austin Thompson | Military Health Care Provider | 86th Medical Group, Unit 3215, Apo, AE 09094 | 2020-04-14 |
| 1972066918 | Emily H Mercante | Military Health Care Provider | 86th Medical Group, Unit 3215, Apo, AE 09094 | 2019-04-08 |
| 1932635653 | Travis Ray Wagner | Dentist | 86th Medical Group, Unit 3215, Apo, AE 09094-3215 | 2017-05-02 |
| 1174976674 | Bryan Caine | Dentist | 86th Medical Group, Unit 3215, Apo, AE 09094-3215 | 2016-07-20 |
| 1518327691 | Stephan Javaheri | Dentist | 86th Medical Group, Unit 3215, Apo, AE 09094-3215 | 2016-03-02 |
| 1275906059 | Jennifer Malloy | Dentist | 86th Medical Group, Ramstein Ab, Germany, Apo, AE 09012 | 2015-11-03 |
| 1215357389 | Lindsey Tyler Leitz | Dietitian, Registered | 86th Medical Group, Unit 3215, Apo, AE 09094 | 2014-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043722077 | Claudia Kayatani | Social Worker | Ramstein Afb, 86th Mdg, Apo, AE 09094 | 2017-10-31 |
| 1073993549 | Philip Oro | Family Medicine | Psc 2, Unit 3215, Bldg 2114, Room 201, Apo, RAMSTEIN-MIESENBACH 09094 | 2015-06-01 |
| 1336528363 | Talon Miner | Preventive Medicine | 86 Amds / Sgpf, Flight Surgeon Office Unit 3215, Apo, AE 09094 | 2015-05-22 |
| 1578973921 | Joseph Lincoln Abrams | Preventive Medicine | 86 Amds Unit 3212, Apo, AE 09094 | 2014-05-06 |
| 1063756575 | Bethany Allison Casper | Nurse Practitioner | Ramstein Air Base, 86 Mdg, Apo, AE 09094 | 2012-11-21 |
| 1871846113 | Adam P Faber | Nurse Practitioner | 86mdg, Unit 3215, Apo, AE 09094 | 2012-10-24 |
| 1982959771 | Matthew Puderbaugh | General Practice | 86th Medical Group Unit 3215, Apo, AE 09094 | 2012-07-17 |
| 1760757371 | Nathan Larson | Dentist | 86ds/sgd, Unit 3215, Apo, AE 09094 | 2012-03-14 |
| 1609004589 | Lashonda M Green Morehead | Military Health Care Provider | 435 Th Mdos/sgopf, Unit 3215 Ramstein Ab, Germany, Apo, AE 09094 | 2009-06-30 |
| 1952588766 | Denise Maria Martin Zona | Counselor | 86 Mdos/sgow, Unit 3215, Apo, AE 09094 | 2008-01-23 |
| Find all providers in zip 09094 | ||||
| Taxonomy Code | 1710I1002X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Corpsman |
| A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals. |
| Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154920940 | Kyle Leo Price | Military Health Care Provider | Uss Oklahoma City, Apo, AP 96932 | 2020-10-22 |
| 1720624992 | Joshua Marcus Kuepper | Military Health Care Provider | 4th Force Reconnaissance Co, 1181 Sumner Rd Mcb Kaneohe Bay Hi, Apo, AA 96863 | 2019-11-22 |
| 1568929636 | Rory Joseph Farrell | Military Health Care Provider | Camp Pendleton, Apo, AA 00000 | 2019-02-26 |
| 1063938967 | Scott Thomas Sears | Military Health Care Provider | 1st Marine Logistics Group, Medical Battalion, Apo, AP 92055 | 2017-08-22 |
| 1497275515 | Scott Francis Rosenfield | Military Health Care Provider | Naval Special Warfare Unit Two, Unit 30401, Apo, AE 09107-0401 | 2017-06-20 |
| 1982000550 | Eric Haynes | Military Health Care Provider | Psc Box 20116 Camp Lejeune, Apo, AA 28542-0073 | 2014-11-10 |
| 1477957454 | Charles Edward East Jr. | Military Health Care Provider | 6th Marine Regiment, Apo, AE 28542 | 2014-10-20 |
| 1497168629 | Joseph Thomas | Military Health Care Provider | Us Naval Hospital Okinawa Camp Foster, Psc 482, Apo, AP 96362-1600 | 2014-06-05 |
| 1619220357 | Joezette Denise Julien | Military Health Care Provider | 357140, Maritime Expeditionary Security Squadron Three Medical, Apo, AP 92135-7140 | 2012-10-18 |
| 1871870022 | Ken Samuel Conklin | Military Health Care Provider | Psc Box 20073, Camp Lejeune, Nc, Apo, AA 28542-0073 | 2011-11-15 |
| Find all providers in APO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.