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

Individual provider Independent Duty Corpsman · NPI 1548826308

Jonathan David Brusherd, SOIDC is an Independent Duty Corpsman in Rogers, Arkansas. Registered with an NPI since 2019.

In the registry since
2019
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Practice location Address checks out

710 Summit Loop
Rogers, AR 72756-3040
Phone: (479) 644-7775
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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 number1548826308
Entity typeIndividual (Type 1)
GenderMale
Credentials SOIDC
Sole proprietorNo
NPI enumeratedMay 16, 2019
Last updated in NPPESMay 16, 2019
Mailing address304 Sea Hunter Way, Sneads Ferry, NC 28460-6012