Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brett Randall, IDMT

Individual provider Independent Duty Medical Technicians · NPI 1114261526

Brett Randall, IDMT is an Independent Duty Medical Technicians in Charleston AFB, South Carolina. Registered with an NPI since 2012.

In the registry since
2012

Practice location Address checks out

204 W Hill Blvd
Charleston AFB, SC 29404-4704
Phone: (843) 963-6880
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Medical Technicians (primary) Taxonomy 1710I1003X

Record details

NPI number1114261526
Entity typeIndividual (Type 1)
GenderMale
Credentials IDMT
Sole proprietorNo
NPI enumeratedNovember 26, 2012
Last updated in NPPESJuly 4, 2014

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