MEDICARE: BRIAN PRENDINGUE IDC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1710I1002X	Independent Duty Corpsman		CA

General Provider Information

NPI Number	:	1225563372
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIAN PRENDINGUE IDC

Provider Business Mailing Address
First Line	:	606 3RD AVE APT 405
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92101-6841
Country	:	US
Telephone Number	:	757-805-9394
Fax Number	:

Provider Business Practice Location Address
First Line	:	USS SENTRY
Second Line	:	MCM 3
City	:	FPO
State	:	AE
Zip	:	09587-1923
Country	:	US
Telephone Number	:	757-805-9394
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/26/2017
Last Update Date	:	04/26/2017

Similar Medicare Providers

1518239565 — MR. JOHN H HOLSCHER IDC
Practice Location Address:

USS SENTRY , MCM 3
FPO, AP
96660-1923

Practice Phone: 301-802-6301
Practice Fax:

1972740595 — DANIEL SHANE MESSER IDC
Practice Location Address:

USS SPRINGFIELD , SSN 761
FPO, AE
09587-2417

Practice Phone: 860-694-3898
Practice Fax: 860-694-3871

1679807424 — JENNIFER JOY SKOK IDC
Practice Location Address:

USS SAN ANTONIO , HM01/ MEDICAL
FPO, AE
09587-1700

Practice Phone: 757-284-8722
Practice Fax:

1619202983 — MR. FRANK J MACCARELLI SR. NAVY IDC
Practice Location Address:

USS SAN JACINTO CG-56
FPO, AE
09587-1176

Practice Phone: 757-444-3069
Practice Fax:

1104269299 — LEONARDO PHILIP CIRINO SFIDC
Practice Location Address:

USS SAN JACINTO , CG 56
FPO, AE
09587-1176

Practice Phone: 757-943-6538
Practice Fax:

1861866451 — BRENT JAMES MCINTYRE
Practice Location Address:

USS SPRINGFIELD (SSN 761)
FPO, AA
09587

Practice Phone: 928-458-0193
Practice Fax:

Directions to “ BRIAN PRENDINGUE IDC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.