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

Mr. Andrew D. Bickham, IDC

Individual provider Independent Duty Corpsman · NPI 1396061933

Mr. Andrew D. Bickham, IDC is an Independent Duty Corpsman in Groton, Connecticut. Licensed in Virginia. Registered with an NPI since 2010.

Licensed in
VA
In the registry since
2010

Practice location Address checks out

159 Trout Ave
Groton, CT 06340
Phone: (860) 694-2876
Show map & directions

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

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X · Licence T69-52-2586 (VA)

Record details

NPI number1396061933
Entity typeIndividual (Type 1)
GenderMale
Credentials IDC
Sole proprietorNo
NPI enumeratedApril 7, 2010
Last updated in NPPESApril 7, 2010

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