BRANDON CLARK


Address: 107 E Oak Ave, Flagstaff, AZ 86001
Phone: 9287797880

BRANDON CLARK (NPI# 1174844138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174844138
Entity Type Individual
Full Name BRANDON CLARK
Credential DO
Practice Address 107 E Oak Ave
Flagstaff
AZ 86001
Mailing Address 1200 N Beaver St
Flagstaff
AZ 86001-3118
Practice Telephone 9287797880
Mailing Telephone 9282136235
Mailing Fax Number 9282136292
Enumeration Date 2010-06-14
Last Update Date 2019-06-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207XX0801X Orthopaedic Surgery
Specialization: Orthopaedic Trauma
6862 AZ Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
1485 N Turquoise Dr, Suite 200, Flagstaff, AZ 860011398 9287747757 9287747767

Other Providers BRANDON CLARK

NPI Name Taxonomy Address Enumeration
1528522083 Brandon Clark Registered Nurse 1481 W 10th St, Indianapolis, IN 46202-2803 2019-01-29
1063988939 Brandon K Clark Case Manager/Care Coordinator 103 4th St, Jonesboro, LA 71251-3346 2018-10-18
1972054393 Brandon Clark Counselor 8930 Stanford Blvd, Suite M 100, Columbia, MD 21045-5805 2016-10-20
1932561115 Brandon W. Clark Social Worker 1203 Idaho St, Lewiston, ID 83501-1940 2016-03-25
1871872416 Brandon C Clark Counselor 500 Fairway Dr, Deerfield Beach, FL 33441-1814 2011-08-14
1528256955 Brandon Clark Counselor 3995 Marcola Rd, Springfield, OR 97477-7948 2007-10-10

Office Location

Street Address 107 E OAK AVE
City FLAGSTAFF
State AZ
Zip Code 86001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316931702 Jon R Shereck Orthopaedic Surgery 107 E Oak Ave, Flagstaff, AZ 86001 2005-08-31
1013546340 Zachary Scott Hinger Orthopaedic Surgery 107 E Oak Ave, Flagstaff, AZ 86001-1818 2020-04-08
1548746928 Sarah Wyard Nurse Practitioner 107 E Oak Ave, Flagstaff, AZ 86001-1818 2018-07-18
1255799789 Iris Maczura Nurse Practitioner 107 E Oak Ave, Suite 201, Flagstaff, AZ 86001-1818 2016-01-28
1568870988 Megan Marie Alatorre Physician Assistant 107 E Oak Ave, Flagstaff, AZ 86001-1818 2014-07-29
1740694470 Northern Arizona Healthcare Provider Group, LLC Family Medicine 107 E Oak Ave, Flagstaff, AZ 86001-1818 2014-06-20
1003230830 Northern Arizona Healthcare Provider Group, LLC Psychologist 107 E Oak Ave, Flagstaff, AZ 86001-1818 2014-02-14
1104260421 Northern Arizona Healthcare Provider Group, LLC Clinical Neuropsychologist 107 E Oak Ave, Flagstaff, AZ 86001-1818 2013-04-18
1801133566 Northern Arizona Healthcare Provider Group, LLC Family Medicine 107 E Oak Ave, Flagstaff, AZ 86001-1818 2013-01-14
1508119348 Northern Arizona Healthcare Provider Group, LLC Psychiatry & Neurology 107 E Oak Ave, Flagstaff, AZ 86001-1818 2012-10-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427658756 Marlenne Adair Escobar-mendoza Specialist/Technologist 1705 South San Francisco Street, Flagstaff, AZ 86001 2020-10-27
1962033712 Laura-lee Prescott Social Worker Northern Az Va Healthcare System, Flagstaff Cboc, 1300 W. University Ave., Suite 300, Flagstaff, AZ 86001 2020-01-30
1194360784 Trinity Medical Consultants Pllc Internal Medicine 1521 N Cliff Drive, Flagstaff, AZ 86001 2019-11-07
1154849610 Altacare, LLC Family Medicine 2700 S Woodlands Village Blvd Ste 700, Flagstaff, AZ 86001 2017-09-05
1487174926 Lindsey Marie Forstie Nurse Practitioner 7263 E Dreamview Trail, Flagstaff, AZ 86001 2017-06-26
1255860763 Welbrook Senior Living Flagstaff LLC Skilled Nursing Facility 1521 N Pine Cliff Dr, Flagstaff, AZ 86001 2017-06-08
1912432675 Ryan Tiscareno Specialist/Technologist 621 West Cherry Ave, Flagstaff, AZ 86001 2017-05-01
1629432380 Behavioral Consultation Services, Inc. Clinic/Center 345 S. River Run Road, Suite 200, Flagstaff, AZ 86001 2016-04-08
1275920928 Junli Gallagher Speech-Language Pathologist 1215 N. Beaver St, Flagstaff, AZ 86001 2015-04-21
1932592599 Kristen Flugstad Psyd, LLC Psychologist 125 East Elm Avenue #203, Flagstaff, AZ 86001 2015-03-06
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Taxonomy Information

Taxonomy Code 207XX0801X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Orthopaedic Trauma

Taxonomy Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1902097587 Eli A Swanson Orthopaedic Surgery 2525 E. Roosevelt St, Ortho Clinic On 3rd Floor, Phoenix, AZ 85008 2007-08-07
1881810844 Omega Orthopaedics, Inc Orthopaedic Surgery 203 S. Candy Lane, Suite 4b, Cottonwood, AZ 86326-8107 2007-04-18
1164491031 Gregory Thomas Evangelista Orthopaedic Surgery 3271 N Civic Center Plz Ste 110, Scottsdale, AZ 85251-6990 2006-03-14
1548265606 Anthony S Rhorer Orthopaedic Surgery 3126 N Civic Center Plz, Scottsdale, AZ 85251-6912 2005-06-16
1407200454 Precision Foot and Ankle Services Orthopaedic Surgery 6036 N 19th Ave, Suite 204, Phoenix, AZ 85015-2106 2016-04-15
1356683924 Ammar Karim Orthopaedic Surgery 485 S Dobson Rd Ste 110, Chandler, AZ 85224-5600 2013-03-21
1891011961 Heather Woodin Cole Orthopaedic Surgery 3126 N Civic Center Plz, Scottsdale, AZ 85251-6912 2010-04-14
1275858102 Adam Keith Lee Orthopaedic Surgery 500 W Thomas Rd Ste 800, Phoenix, AZ 85013-4217 2010-04-04
1811212236 Austin Mcphilamy Orthopaedic Surgery 18444 N 25th Ave Ste 210, Phoenix, AZ 85023-1264 2010-03-29
1649439621 Thomas Christopher Fishler Orthopaedic Surgery 3126 N Civic Center Plz, Scottsdale, AZ 85251-6912 2008-06-05
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Competitor

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City FLAGSTAFF
Zip Code 86001

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Dataset Information

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.

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