BRADLEY WALTON CLARK MD NPI 1639431307

NPI Information

  • NPI: 1639431307
  • Provider Name: BRADLEY WALTON CLARK, MD
  • Classification: Nuclear Medicine - 207UN0901X
  • Specialization: Nuclear Cardiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 7114 VILLAGE MEDICAL CIR
    CLEMMONS, NC
    ZIP 27012
  • Phone: (336) 893-2440

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NPI Details

Bradley Walton Clark, MD is a nuclear cardiology nuclear medicine in Clemmons, NC with 14 years of experience. The provider is a nuclear medicine physician who specializes in nuclear cardiology. Bradley Walton Clark, MD NPI is 1639431307. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Graduation Year:2012

The provider's business location address is:

7114 VILLAGE MEDICAL CIR
CLEMMONS, NC
ZIP 27012-004
Phone: (336) 893-2440
Fax: (336) 893-2470

The NPI 1639431307 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.

  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS:93010)
  • Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Ultrasound of heart with color-depicted blood flow, rate and valve function (HCPCS:93325)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
  • Ultrasound of heart blood flow, valves and chambers (HCPCS:93320)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Ultrasound of heart with probe in esophagus, with report (HCPCS:93312)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS:93010)
  • Ultrasound of heart, follow-up (HCPCS:93308)
  • External shock to heart to regulate heart beat (HCPCS:92960)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician (HCPCS:93018)
  • Ultrasound of heart blood flow, valves and chambers, follow-up (HCPCS:93321)
  • Nuclear medicine studies of heart muscle at rest and with stress and spect (HCPCS:78452)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Nuclear medicine studies of heart muscle at rest and with stress and spect (HCPCS:78452)
  • Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician (HCPCS:93018)
  • Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician (HCPCS:93016)
  • Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician (HCPCS:93016)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Ct scan of blood vessels and grafts of heart with contrast (HCPCS:75574)

The enumeration date for this NPI number is 6/8/2012 and was last updated on 2/18/2021.

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
1207R00000XInternal Medicine2015-00428NORTH CAROLINANo
2207R00000XInternal MedicineLL34733SOUTH CAROLINANo
3207RC0000XInternal MedicineCardiovascular Disease2015-00428NORTH CAROLINANo
4207UN0901XNuclear MedicineNuclear Cardiology2015-00428NORTH CAROLINAYes

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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