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

Brody Tanner Ehalt, IDMT

Individual provider Independent Duty Medical Technicians · NPI 1770232753

Brody Tanner Ehalt, IDMT is an Independent Duty Medical Technicians in Travis AFB, California. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

101 Bodin Cir
Travis AFB, CA 94535-1809
Phone: (707) 423-3826
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 number1770232753
Entity typeIndividual (Type 1)
GenderMale
Credentials IDMT
Sole proprietorNo
NPI enumeratedMarch 18, 2022
Last updated in NPPESMarch 18, 2022
Certification dateMarch 18, 2022

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