Active NPIIndividual providerSole proprietor

Dr. Brian M Clark, MD

Obstetrics & Gynecology, Reproductive Endocrinology in Millbury, Massachusetts

NPI Number1437159795
Practice location
22 West St Ste 25, Millbury, MA 01527-2677
Fax
508-917-6721
Last updated
March 1, 2021

Brian M Clark is an Obstetrics & Gynecology, Reproductive Endocrinology based in Millbury, MA. Brian M Clark practices in Millbury, MA and has the professional credentials of MD. The NPI Number for Brian M Clark is 1437159795 and holds a License No. 226853 (MA). The current practice location address for Brian M Clark is 22 West St Ste 25, Millbury, MA 01527-2677 and can be reached out via phone at 508-917-6720 and via fax at 508-917-6721.

Provider Profile Details

NPI Number
1437159795
Provider Name
Brian M Clark
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
22 West St Ste 25, Millbury, MA 01527-2677
Phone Number
508-917-6720
Fax Number
508-917-6721
Sole Proprietor
Yes
Provider Enumeration Date
July 28, 2005
Last Update Date
March 1, 2021
Certification Date
March 1, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
22 West St Ste 25
Millbury, MA 01527-2677
Zip
01527-2677
Phone Number
508-917-6720
Fax Number
508-917-6721
Millbury, MA 01527Get directions →

Provider Business Mailing Address Details

Address
22 West St Ste 25
Millbury, MA 01527-2677
City
Millbury
State
MA
Zip
01527-2677
Phone Number
508-917-6720
Fax Number
508-917-6721

License Information

License Number
226853
License State
MA

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Brian M Clark, MD?

The NPI number of Dr. Brian M Clark, MD is 1437159795. It was assigned on July 28, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Brian M Clark, MD?

Dr. Brian M Clark, MD is registered under the primary taxonomy Obstetrics & Gynecology, Reproductive Endocrinology (code 207VE0102X), licensed in MA under license number 226853.

Where does Dr. Brian M Clark, MD practice?

The practice location is 22 West St Ste 25, Millbury, MA 01527-2677. The office can be reached at 508-917-6720 (phone) or 508-917-6721 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1437159795 directly on the NPPES registry website.

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