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DR. BRADLEY CLARK M.D. NPI 1124354964


NPI Information

NPI: 1124354964
Provider Name: DR. BRADLEY CLARK, M.D.
Classification: Emergency Medicine - 207P00000X
Entity Type: Individual
Address:
423 E ELAINE CIR
INKOM, ID
ZIP 83245
Phone: (208) 251-9482
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DR. Bradley Clark, M.D. is an emergency medicine in Inkom, ID. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. DR. Bradley Clark, M.D. NPI is 1124354964. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

423 E ELAINE CIR
INKOM, ID
ZIP 83245-716
Phone: (208) 251-9482

The enumeration date for this NPI number is 10/29/2009 and was last updated on 10/29/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207P00000XEmergency MedicineM-8299IDAHOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.