DR. BRIAN T CLARK (NPI# 1104920669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104920669 |
| Entity Type | Individual |
| Full Name | DR. BRIAN T CLARK |
| Credential | D.C. |
| Practice Address |
5175 Moores Mill Road Huntsville AL 35811 |
| Practice Telephone | 2568590440 |
| Practice Fax Number | 2568490388 |
| Mailing Telephone | 2568590440 |
| Mailing Fax Number | 2568590388 |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2015-05-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 979 | AL | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BLUE CROSS&BLUE SHIELD | 051070543 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992363345 | Brian K Clark Sr. | Licensed Practical Nurse | 15201 Judson Dr, Cleveland, OH 44128-1956 | 2019-05-31 |
| 1073046421 | Brian Clark | Chiropractor | 140 Hidden Lake Ln, Peninsula, OH 44264-9578 | 2017-04-04 |
| 1538618277 | Brian Clark | Specialist/Technologist | 9950 Bruceville Rd Apt 147, Elk Grove, CA 95757-9511 | 2016-09-22 |
| 1942758222 | Brian Christopher Clark | Counselor | 2631 Bulverde Rd, Suite 108, Bulverde, TX 78163-2107 | 2016-09-15 |
| 1740653518 | Brian Clark | Pharmacist | 8312 Serenity Way, Denton, TX 76210-0823 | 2015-11-03 |
| 1437548062 | Brian Clark | Occupational Therapist | 4718 Tenbury Ln, Rocklin, CA 95677-4487 | 2015-01-20 |
| 1144524851 | Brian Allan Clark | Respiratory Therapist, Certified | 2910 N Saginaw Rd, Midland, MI 48640-2634 | 2011-01-10 |
| 1679801286 | Brian Keith Clark | Physical Therapy Assistant | 1407 Melbourne St, Foster City, CA 94404-3960 | 2009-11-20 |
| 1497907190 | Brian R. Clark | Counselor | 623 W Easterday Ave, Sault Sainte Marie, MI 49783-1625 | 2008-10-14 |
| 1083756274 | Brian Edward Clark | Dentist | 5544 Turney Rd, Garfield Hts, OH 44125-3780 | 2007-02-13 |
| Street Address |
5175 MOORES MILL ROAD |
| City | HUNTSVILLE |
| State | AL |
| Zip Code | 35811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902900475 | Chase Chiropractic Center | Chiropractor | 5175 Moores Mill Road, Huntsville, AL 35811 | 2006-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053800425 | Roselyne E Machen | Nurse Practitioner | 274 Dinner Tree Square, Huntsville, AL 35811 | 2018-05-01 |
| 1245748839 | Annie Lauryl Wilkerson | Specialist/Technologist | 4900 Meridian Street, Huntsville, AL 35811 | 2018-01-17 |
| 1326565615 | Alabama A&m University | Counselor | 4011 Meridian Street, Huntsville, AL 35811 | 2017-08-28 |
| 1982150132 | Jasmine C Felder | Physical Therapist | 3016 Moorse Mill Rd, Suite B, Huntsville, AL 35811 | 2016-08-28 |
| 1972939874 | Frederica Crutcher | Technician, Other | 198 Ford Circle, Huntsville, AL 35811 | 2013-09-24 |
| 1407081557 | Stacie Peek Wilson | Skilled Nursing Facility | 2701 Meridian Street North, Huntsville, AL 35811 | 2009-05-19 |
| 1831220193 | Madison Medical Services | Clinic/Center | 103 Hickory Glen Circle, Huntsville, AL 35811 | 2007-03-08 |
| 1013911767 | Lindalee Clayton | Dentist | 1392 Jordan Road Ste A, Huntsville, AL 35811 | 2005-06-10 |
| 1285180927 | Christine Muller | Specialist/Technologist | 4900 Meridian St N, Huntsville, AL 35811 | 2016-09-01 |
| 1588606685 | Jane Lucinda Wright | Optometrist | 5161c Moores Mill Rd, Huntsville, AL 35811-1007 | 2006-06-12 |
| Find all providers in zip 35811 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811518913 | David Tyler Brown | Chiropractor | 2605 Old Fairway Rd Ste 100, Huntsville, AL 35806-6401 | 2020-04-29 |
| 1790339778 | Cove Chiropractic Inc. | Chiropractor | 7900 Bailey Cove Rd Se Ste E, Huntsville, AL 35802-3324 | 2019-07-29 |
| 1598258303 | Robert Taylor Wesson | Chiropractor | 2717 Downing St Se, Huntsville, AL 35801-2266 | 2018-06-07 |
| 1154834067 | Bagwell Chiropractic | Chiropractor | 2915b Bob Wallace Ave Sw, Huntsville, AL 35805-4107 | 2017-11-14 |
| 1932612827 | Hunter Patrick Lee | Chiropractor | 806 Governors Dr Sw Ste 102, Huntsville, AL 35801-5133 | 2017-11-14 |
| 1629524079 | Back Pain Relief Chiropractic LLC | Chiropractor | 2400 Bob Wallace Ave Sw Ste 204, Huntsville, AL 35805-4775 | 2016-08-26 |
| 1407215726 | Advanced Health Management, LLC | Chiropractor | 303 Williams Ave Sw Ste 135, Huntsville, AL 35801-6001 | 2016-02-15 |
| 1336523042 | North Alabama Spine & Rehab, LLC | Chiropractor | 2312 Market Pl Sw Ste B, Huntsville, AL 35801-5212 | 2015-07-13 |
| 1649652066 | Dr. Jamies Wellness Center LLC | Chiropractor | 917 Merchants Walk Sw, Suite A, Huntsville, AL 35801-5268 | 2015-06-22 |
| 1942698279 | P3 Chiropractic and Sports Care, Inc. | Chiropractor | 2050 South Point Park Cir., Suite 150, Huntsville, AL 35801 | 2015-01-09 |
| Find all providers in HUNTSVILLE | ||||
| City | HUNTSVILLE |
| Zip Code | 35811 |
Please comment or provide details below to improve the information on DR. BRIAN T CLARK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.