BRYAN D. CLARK D.O. – NPI #1194742643
Emergency Medicine

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.

BRYAN CLARK is a physician located in PULASKI, VA. NPPES has assigned the NPI number 1194742643 to BRYAN CLARK on July 17, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207P00000X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medicine.

The NPI profile was previously updated about 8 years ago on Dec 03, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BRYAN CLARK below.

NPI Profile for
BRYAN D. CLARK

NPI Number
1194742643
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
BRYAN D. CLARK
Credentials
D.O.
Primary location
2400 LEE HWY N
PULASKI, VA 24301-2326
Phone: (540) 994-8100 Fax: (804) 379-7506
Mailing address
2250 CASTLEBRIDGE RD
MIDLOTHIAN, VA 23113-4009
Phone: (804) 513-7550 Fax: (804) 379-7506
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207P00000X
- Emergency Medicine (Primary)
VA 0102201448
208M00000X
- Hospitalist
VA 0102201448

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
BRYAN CLARK is affiliated with the following medical group(s):
  • HOSPITAL
    • LEWISGALE HOSPITAL ALLEGHANY
      ONE ARH LANE - PO BOX 7
      LOW MOOR, VA 24457

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.