BRENT CLARK M.D. NPI 1902874456

NPI Information

NPI: 1902874456
Provider Name: BRENT CLARK, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
9816 FRANKSTOWN RD
PITTSBURGH, PA
ZIP 15235
Phone: (412) 243-4525
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Brent Clark, M.D. is a family medicine in Pittsburgh, PA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Brent Clark, M.D. NPI is 1902874456. 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:

9816 FRANKSTOWN RD
PITTSBURGH, PA
ZIP 15235-643
Phone: (412) 243-4525
Fax: (412) 243-3784

The enumeration date for this NPI number is 3/10/2006 and was last updated on 8/1/2012.

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
1	207Q00000X	Family Medicine		MD042270L	PENNSYLVANIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	617289	OTHER	PENNSYLVANIA	HIGHMARK
2	0012387920006	MEDICAID	PENNSYLVANIA
3	64166	OTHER		UNITEDMINEWORKERAMERICA
4	120315400	OTHER		USDEPTOLABOR WORKERSCOMP
5	12627	OTHER		ELDER HEALTH
6	250326	OTHER	PENNSYLVANIA	UPMC
7	1203799	OTHER		FIRST HEALTH
8	617289	MEDICARE ID-TYPE UNSPECIFIED	PENNSYLVANIA
9	251661326	OTHER	PENNSYLVANIA	HEALTHAMERICA
10	47630	OTHER	PENNSYLVANIA	AETNA
11	1010600	OTHER	PENNSYLVANIA	GATEWAY HEALTH PLAN
12	E55862	MEDICARE UPIN	PENNSYLVANIA
13	0012387920005	MEDICAID	PENNSYLVANIA
14	3767	OTHER		HEALTHAMERICA
15	60049	OTHER	PENNSYLVANIA	UNISON ADVANTAGE
16	0012387920002	MEDICAID	PENNSYLVANIA
17	251661326	OTHER	PENNSYLVANIA	ADVANTRA

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: 4/28/2024

NPI Synchronization or Removal

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