Scott Martin Bahde Jr.
Military Health Care Provider, Independent Duty Corpsman in Camp Pendleton, CA. Individual provider (NPI-1).
NPI number1275445512
StatusActive
Last updated in NPPESSep 21, 2026
Details
- NPI
- 1275445512
- Entity type
- Individual (NPI-1)
- Name
- Scott Martin Bahde Jr.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 21, 2026
- Certification date
- Sep 21, 2026
- Last updated
- Sep 21, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1710I1002X | Military Health Care Provider, Independent Duty Corpsman | – | – | Yes |
Practice location
Po Box 555584Camp Pendleton, CA 92055-5584
Phone 760-725-8912
Mailing address
1547 Sunrise CirBoulder City, NV 89005-4211
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 116 Independent Duty Corpsman providers in Camp Pendleton · All 739 providers in Camp Pendleton
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