Bennett W Clark, MD
Internal Medicine in Stamford, Connecticut
1831416569- Practice location
- 9 W Broad St Ste 320, Stamford, CT 06902-3758
- Phone
- 475-251-8856
- Fax
- —
- Last updated
- July 21, 2025
Bennett William Clark is an Internal Medicine based in Stamford, CT. Bennett William Clark practices in Stamford, CT and has the professional credentials of MD. The NPI Number for Bennett William Clark is 1831416569 and holds a License No. D0075366 (MD). The current practice location address for Bennett William Clark is 9 W Broad St Ste 320, Stamford, CT 06902-3758 and can be reached out via phone at 475-251-8856.
Provider Profile Details
- NPI Number
- 1831416569
- Provider Name
- Bennett William Clark
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 9 W Broad St Ste 320, Stamford, CT 06902-3758
- Phone Number
- 475-251-8856
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 20, 2010
- Last Update Date
- July 21, 2025
- Certification Date
- July 21, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 9 W Broad St Ste 320
Stamford, CT 06902-3758 - City
- Stamford
- State
- Connecticut
- Zip
- 06902-3758
- Phone Number
- 475-251-8856
Provider Business Mailing Address Details
- Address
- 9 W Broad St Ste 320
Stamford, CT 06902-3758 - City
- Stamford
- State
- CT
- Zip
- 06902-3758
License Information
- License Number (1)
- D0075366
- License State (1)
- MD
- Taxonomy (1)
- Internal Medicine · 207R00000X
- License Number (2)
- 54459
- License State (2)
- CT
- Taxonomy (2)
- Hospitalist · 208M00000X
- License Number (3)
- 62233
- License State (3)
- MN
- Taxonomy (3)
- Internal Medicine · 207R00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Bennett W Clark, MD?
The NPI number of Bennett W Clark, MD is 1831416569. It was assigned on April 20, 2010 and is currently active in the NPPES registry.
What is the specialty of Bennett W Clark, MD?
Bennett W Clark, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in MD under license number D0075366.
Where does Bennett W Clark, MD practice?
The practice location is 9 W Broad St Ste 320, Stamford, CT 06902-3758. The office can be reached at 475-251-8856 (phone).
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 1831416569 directly on the NPPES registry website.