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

Johnathan Andrew Boswell, IDC

Individual provider Independent Duty Corpsman · NPI 1871863696

Johnathan Andrew Boswell, IDC is an Independent Duty Corpsman in Camp Lejeune, North Carolina. Works from 2 locations. Registered with an NPI since 2012.

In the registry since
2012

Practice location Address checks out

100 Brewster Blvd
Camp Lejeune, NC 28547-2575
Phone: (910) 382-2169
Show map & directions

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

Additional practice locations (1)

  • 34101 Farenholt Ave, San Diego, CA 92134 — (910) 546-5726

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X

Record details

NPI number1871863696
Entity typeIndividual (Type 1)
GenderMale
Credentials IDC
Sole proprietorNo
NPI enumeratedJanuary 10, 2012
Last updated in NPPESJuly 1, 2022
Certification dateJuly 1, 2022

Other providers in Camp Lejeune