DR. DAVID LEE CLAYTON M.D. NPI 1912988460

NPI Information

  • NPI: 1912988460
  • Provider Name: DR. DAVID LEE CLAYTON, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 621 MEMORIAL DR
    SUITE 624
    SOUTH BEND, IN
    ZIP 46601
  • Phone: (574) 282-2708

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NPI Details

DR. David Lee Clayton, M.D. is a family medicine in South Bend, IN. 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. DR. David Lee Clayton, M.D. NPI is 1912988460. 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:

621 MEMORIAL DR
SUITE 624
SOUTH BEND, IN
ZIP 46601-063
Phone: (574) 282-2708
Fax: (574) 282-1044

The enumeration date for this NPI number is 11/10/2005 and was last updated on 4/4/2011.

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
1207Q00000XFamily Medicine01024951INDIANAYes

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
1000000084082OTHERINDIANABCBS/ANTHEM
2B29400MEDICARE UPININDIANA
3735060MEDICARE ID-TYPE UNSPECIFIEDINDIANA

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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