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

Brian Russell Balcolm, IDMT

Individual provider Independent Duty Medical Technicians · NPI 1205110368

Brian Russell Balcolm, IDMT is an Independent Duty Medical Technicians in McConnell AFB, Kansas. Registered with an NPI since 2011.

In the registry since
2011

Practice location Address checks out

57950 Leavenworth St
McConnell AFB, KS 67221-3505
Phone: (316) 759-6300
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 number1205110368
Entity typeIndividual (Type 1)
GenderMale
Credentials IDMT
Sole proprietorNo
NPI enumeratedOctober 6, 2011
Last updated in NPPESJuly 10, 2023
Certification dateJuly 10, 2023
Mailing address57950 Leavenworth St, McConnell Afb, KS 67221-3505

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