RANDALL BRUCE CLARK D.O. NPI 1265873111

NPI Information

  • NPI: 1265873111
  • Provider Name: RANDALL BRUCE CLARK, D.O.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 70 DOCTORS PARK
    CAPE GIRARDEAU, MO
    ZIP 63703
  • Phone: (573) 334-6071

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NPI Details

Randall Bruce Clark, D.O. is a diagnostic radiology radiology in Cape Girardeau, MO with 13 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Randall Bruce Clark, D.O. NPI is 1265873111. 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:

70 DOCTORS PARK
CAPE GIRARDEAU, MO
ZIP 63703-928
Phone: (573) 334-6071
Fax: (573) 334-4739

The NPI 1265873111 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml (HCPCS:Q9967)
  • Injection, gadobutrol, 0.1 ml (HCPCS:A9585)
  • Screening mammography (HCPCS:77067)
  • Screening 3d breast mammography (HCPCS:77063)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • Blood creatinine level (HCPCS:82565)
  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Mri scan of upper spinal canal without contrast (HCPCS:72141)
  • Mri scan of arm joint without contrast (HCPCS:73221)
  • Mri scan of leg joint without contrast (HCPCS:73721)
  • X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
  • Ct scan of chest with contrast (HCPCS:71260)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) (HCPCS:G0279)
  • Mri scan of brain without contrast (HCPCS:70551)
  • Ct scan of abdomen and pelvis before and after contrast (HCPCS:74178)
  • Mri scan of brain before and after contrast (HCPCS:70553)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Diagnostic mammography of 1 breast (HCPCS:77065)
  • Mri scan of middle spinal canal without contrast (HCPCS:72146)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Limited ultrasound scan of 1 breast (HCPCS:76642)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Injection of substance into lower spine canal using imaging guidance (HCPCS:62323)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Ct scan of lower spine without contrast (HCPCS:72131)
  • X-ray lower and sacral spine, minimum of 6 views (HCPCS:72114)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Ultrasound scan of head and neck soft tissue (HCPCS:76536)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • X-ray of upper spine, 4-5 views (HCPCS:72050)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • Fluoroscopic guidance for needle placement (HCPCS:77002)
  • Diagnostic mammography of both breasts (HCPCS:77066)
  • Ct scan of leg without contrast (HCPCS:73700)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • Fine needle aspiration biopsy using ultrasound guidance, first growth (HCPCS:10005)
  • Mri scan of lower spinal canal before and after contrast (HCPCS:72158)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Injection, methylprednisolone acetate, 80 mg (HCPCS:J1040)
  • Ct scan of soft tissue of neck with contrast (HCPCS:70491)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • X-ray of both hips, 3-4 views (HCPCS:73522)
  • Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina (HCPCS:76830)
  • Complete ultrasound scan of abdomen (HCPCS:76700)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • X-ray of middle spine, 3 views (HCPCS:72072)
  • Ct scan of face without contrast (HCPCS:70486)
  • Ultrasound of leg arteries or artery grafts (HCPCS:93925)
  • X-ray of upper spine, 2-3 views (HCPCS:72040)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of ribs on side of body, minimum of 3 views (HCPCS:71101)
  • Double contrast x-ray of esophagus (HCPCS:74221)
  • Nuclear medicine study of bone and/or joint whole body (HCPCS:78306)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • X-ray of upper spine, 6 or more views (HCPCS:72052)
  • Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries (HCPCS:A9503)
  • Ultrasound scan of scrotum (HCPCS:76870)
  • Mri scan of leg without contrast (HCPCS:73718)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • Ct scan of blood vessels of neck with contrast (HCPCS:70498)
  • Biopsy of breast and placement of locating device using ultrasound, first growth (HCPCS:19083)
  • Ct scan of chest before and after contrast (HCPCS:71270)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • X-ray of middle spine, 2 views (HCPCS:72070)
  • Ct scan of upper spine without contrast (HCPCS:72125)

The enumeration date for this NPI number is 7/8/2013 and was last updated on 1/27/2021.

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
12085R0202XRadiologyDiagnostic Radiology2013021199MISSOURIYes

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: 11/21/2025

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