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

Individual provider Independent Duty Corpsman · NPI 1174641344

Bryan Paul Zimmerman, IDC is an Independent Duty Corpsman in Virginia Beach, Virginia. Registered with an NPI since 2007.

In the registry since
2007
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Practice location Address checks out

2360 Amphibious Dr
Virginia Beach, VA 23459-8810
Phone: (757) 462-3423
Fax: (757) 462-2115
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X

Record details

NPI number1174641344
Entity typeIndividual (Type 1)
GenderMale
Credentials IDC
Sole proprietorNo
NPI enumeratedMarch 27, 2007
Last updated in NPPESMarch 24, 2010

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