Bradley Walton Clark, MD is a medicare enrolled "Nuclear Medicine - Nuclear Cardiology" physician in Clemmons, North Carolina. His current practice location is
7114 Village Medical Cir, Clemmons, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(336) 893-2440.
Bradley Walton Clark is licensed to practice in North Carolina (license number 2015-00428) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1639431307.
Physician's Profile
| Full Name | Bradley Walton Clark |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 7114 Village Medical Cir, Clemmons, North Carolina |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Bradley Walton Clark attended and graduated from in
NPI Data:
- NPI Number: 1639431307
- Provider Enumeration Date: 06/08/2012
- Last Update Date: 02/18/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Bradley Walton Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1639431307 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 2015-00428 (North Carolina) | Secondary |
| 207R00000X | Internal Medicine | LL34733 (South Carolina) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 2015-00428 (North Carolina) | Secondary |
| 207UN0901X | Nuclear Medicine - Nuclear Cardiology | 2015-00428 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bradley Walton Clark is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Bradley Walton Clark, MD
Po Box 751803,
Charlotte, NC 28275-1803
Ph: (336) 277-2000 | Bradley Walton Clark, MD
7114 Village Medical Cir,
Clemmons, NC 27012-8004
Ph: (336) 893-2440 |
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